Individual provider Active NPI

Mary Joy Anne Harmon, AGACNP

  • Acute Care Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1750154647
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
231109 Issued in LA
Practice address
8001 Youree Dr
Shreveport, LA 71115-2302
Phone
(318) 212-3000
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 231109 LA Primary

Addresses

Primary practice location

8001 Youree Dr
Shreveport, LA 71115-2302

Mailing address

702 Gladney St
Minden, LA 71055-2824
Phone (318) 268-9487

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
I20240125004313 LA Practitioner - Nurse Practitioner 9830542851 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians
WK Neurovascular NeurosurgeryGroup PAC ID 9537507041, 7 clinicians

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 382-4090

2727 Hearne Ave
Suite 320
Shreveport, LA 71103-3917
Phone (318) 212-6797

Hospital & facility affiliations

  • Minden Medical Center Hospital, Minden, LA, CCN 190144
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231109LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC CurrentSince May 26, 2025 Accepting new patients
Minden Physician Practices, LLC CurrentSince May 26, 2025 Accepting new patients
WK Neurovascular Neurosurgery CurrentSince Apr 3, 2024 Accepting new patients
WK Precision Neurosurgery CurrentSince Feb 11, 2024 Accepting new patients
Minden Physician Practices LLC Current Accepting new patients
WK Pierremont Neurology Clinic CurrentSince May 11, 2024 Accepting new patients
Willis Knighton Medical Center, Inc. PastSince Apr 3, 2024 Accepting new patients

Locations

2400 Hospital Dr
Ste 340
Bossier City, LA 71111
Phone (318) 212-7280

2449 Hospital Dr
Ste 210
Bossier City, LA 71111
Phone (318) 212-7280

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

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

1811 E Bert Kouns Industrial Loop
Ste 200
Shreveport, LA 71105
Phone (318) 212-2720

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

8001 Youree Dr
Ste 960
Shreveport, LA 71115
Phone (318) 212-2771

2727 Hearne Ave
Ste 320
Shreveport, LA 71103
Phone (318) 212-6797

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

Interoperability endpoints

  • Direct secure messaging: mary.harmon.1@3681.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1750154647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GLADNEY ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552824",
            "telephone_number": "318-268-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "MARY",
        "middle_name": "JOY ANNE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "231109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.