Individual provider Active NPI

Jon C Barnes, FNP

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1689678534
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN073142 Issued in LA
Practice address
8660 Fern Ave Ste 105
Shreveport, LA 71105-5657
Phone
(318) 797-0009
Fax
(318) 797-0092
NPI assigned
Jun 9, 2005
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN073142 LA Primary

Addresses

Primary practice location

8660 Fern Ave Ste 105
Shreveport, LA 71105-5657

Mailing address

8660 Fern Ave Ste 105
Shreveport, LA 71105-5657
Phone (318) 797-0009

Other identifiers 1

IdentifierTypeStateIssuer
1131831MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070202000350 LA Practitioner - Nurse Practitioner 3678575727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ark-la-Tex Spine, ApmcGroup PAC ID 8921249392, 2 clinicians

Practice addresses (Care Compare)

8660 Fern Ave
Suite 120
Shreveport, LA 71105-5657
Phone (318) 841-9999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Emergency Group LLC Nurse Practitioner CurrentSince Sep 1, 2008 Accepting new patients
Ark-la-Tex Spine Apmc CurrentSince Oct 1, 2020 Accepting new patients
Shreveport Family Medicine Inc PastSince Jan 7, 2010 Accepting new patients
Ark-la-Tex, LLC Past Accepting new patients

Locations

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

8660 Fern Ave
Ste 105
Shreveport, LA 71105
Phone (318) 797-0009

8660 Fern Ave
Ste 120
Shreveport, LA 71105
Phone (318) 347-6203

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBECCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBECCA/Endpoint/DBECCA

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1689678534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 FERN AVE STE 105",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055657",
            "telephone_number": "318-797-0009",
            "fax_number": "318-797-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 FERN AVE STE 105",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055657",
            "telephone_number": "318-797-0009",
            "fax_number": "318-797-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JON",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN073142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1131831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.