Organization Active NPI

Oneal Direct Health

  • Clinic/Center
  • Shreveport, LA
National Provider Identifier
1720974470
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ONEAL DIRECT HEALTH
Practice address
818 Montrose Dr Ste B
Shreveport, LA 71106-2012
Phone
(337) 302-5453
Fax
(337) 302-5453
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Jennifer O'Neal, MDNPI 1275929929
Title
Owner
Phone
(337) 302-5453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

818 Montrose Dr Ste B
Shreveport, LA 71106-2012

Mailing address

8702 Glen Haven Dr
Shreveport, LA 71106-6222
Phone (337) 302-5453

Other identifiers 2

IdentifierTypeStateIssuer
1275929929OtherLASTATE
1275929929MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joneal@onealdirecthealth.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1720974470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 GLEN HAVEN DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066222",
            "telephone_number": "337-302-5453",
            "fax_number": "318-725-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MONTROSE DR STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062012",
            "telephone_number": "337-302-5453",
            "fax_number": "337-302-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEAL DIRECT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-302-5453",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1275929929",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275929929",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joneal@onealdirecthealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "818 Montrose Dr Ste B",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711062012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 17, 2025; 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.