Individual provider Active NPI

Patricia Webb, NP

  • Nurse Practitioner
  • Plain Dealing, LA
National Provider Identifier
1720164379
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2005007456 Issued in LA
Practice address
112 Forest Street
Plain Dealing, LA 71064
Phone
(318) 326-7272
Fax
(318) 326-7282
NPI assigned
Oct 27, 2006
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2005007456 LA Primary

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

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
I20070224000124 LA Practitioner - Nurse Practitioner 4284736026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005007456LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Council for Advancement of Social Service and Education CurrentSince Jul 1, 2019 Accepting new patients
Council for Advancement of Social Service and Education Current Accepting new patients
Council for Advancement of Social Service and Education CurrentSince Jul 1, 2019 Accepting new patients
Council for Advancement of Social Service and Education PastSince Aug 2, 2020 Accepting new patients

Locations

907 Polk St
Mansfield, LA 71052
Phone (318) 688-3350

1560 Irving Pl
Shreveport, LA 71101
Phone (318) 212-1194

2120 Bert Kouns Industrial Loop
Ste A
Shreveport, LA 71118
Phone (318) 688-3350

2120 Bert Kouns Industrial Loop
Ste H
Shreveport, LA 71118

2120 Bert Kouns Industrial Loop
Ste Kl
Shreveport, LA 71118
Phone (318) 688-3350

149 Stone Creek Rd
Stonewall, LA 71078
Phone (318) 688-3350

Organizations & group practices 4

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 4

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain Dealing, LA

Sources for this page

Verify at the official NPI Registry.