Patricia Webb, NP
Individual provider Active NPI Nurse Practitioner · Plain Dealing, LA
NPI 1720164379 · NPPES record last updated Sep 28, 2012
Key facts
- NPI
- 1720164379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2005007456 (LA)
- Practice address
- 112 Forest Street
Plain Dealing, LA 71064 - Phone
- (318) 326-7272
- Fax
- (318) 326-7282
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Council for Advancement of Social Service and Education
Practice addresses (Care Compare)
2120 Bert Kouns Industrial Loop
Shreveport, LA 71118-3351
Phone 31868833501230
907 Polk St
Mansfield, LA 71052-2520
Phone (318) 688-3350
Hospital & facility affiliations
- Willis Knighton Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070224000124 | LA | Practitioner - Nurse Practitioner | 4284736026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005007456 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Council for Advancement of Social Service and Education | Current |
Accepting new patients | |
| Council for Advancement of Social Service and Education | Current |
Accepting new patients | |
| Council for Advancement of Social Service and Education | Current | Accepting new patients | |
| Council for Advancement of Social Service and Education | Past |
Accepting new patients |
Locations
907 Polk St
Mansfield, LA 71052
Phone (318) 688-3350
2120 Bert Kouns Industrial Loop
Ste Kl
Shreveport, LA 71118
Phone (318) 688-3350
2120 Bert Kouns Industrial Loop
Ste H
Shreveport, LA 71118
1560 Irving Pl
Shreveport, LA 71101
Phone (318) 212-1194
2120 Bert Kouns Industrial Loop
Ste A
Shreveport, LA 71118
Phone (318) 688-3350
149 Stone Creek Rd
Stonewall, LA 71078
Phone (318) 688-3350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2005007456 | LA | Yes |
Addresses
Primary practice location
112 Forest Street
Plain Dealing, LA 71064
Mailing address
1003 S Spruce St
Vivian, LA 71082-3200
Phone (318) 375-4003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1444286 | Medicaid | LA | |
| 2302639 | Medicaid | LA | |
| 1370215 | Medicaid | LA |
NPI Registry JSON
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1720164379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 S SPRUCE ST",
"city": "VIVIAN",
"state": "LA",
"postal_code": "710823200",
"telephone_number": "318-375-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 FOREST STREET",
"city": "PLAIN DEALING",
"state": "LA",
"postal_code": "71064",
"telephone_number": "318-326-7272",
"fax_number": "318-326-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "PATRICIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "2005007456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1444286",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2302639",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1370215",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plain Dealing, LA
- Medi-Script Inc
- Medi-Script Inc
- Amber Mote
- North Caddo Hospital Service District
- Reginald Walker
- Holly Kay Williams
- Joyce G Williams
- Ladarrius Jamar Williams
- WK Plain Dealing Medical Clinic
All providers in Plain Dealing, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.