Individual provider Active NPI

Kristan Nielsen Belcher, R.N.

  • Registered Nurse
  • Shreveport, LA
National Provider Identifier
1669782868
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN122523 Issued in LA
Practice address
2931 Salem Dr
Shreveport, LA 71118-2018
Phone
(318) 688-0305
Fax
(318) 688-0305
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN122523 LA Primary

Addresses

Primary practice location

2931 Salem Dr
Shreveport, LA 71118-2018

Mailing address

2931 Salem Dr
Shreveport, LA 71118-2018
Phone (318) 688-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN122523LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
K B Medication Therapy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1669782868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 SALEM DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182018",
            "telephone_number": "318-688-0305",
            "fax_number": "318-688-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 SALEM DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182018",
            "telephone_number": "318-688-0305",
            "fax_number": "318-688-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN BELCHER",
        "first_name": "KRISTAN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN122523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.