Active NPI
Mary Joy Anne Harmon, AGACNP
- Acute Care Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 231109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCWK Neurovascular Neurosurgery
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
- Willis Knighton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231109 | LA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Minden Physician Practices, LLC | Current | Accepting new patients | |
| WK Neurovascular Neurosurgery | Current | Accepting new patients | |
| WK Precision Neurosurgery | Current | Accepting new patients | |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| WK Pierremont Neurology Clinic | Current | Accepting new patients | |
| Willis Knighton Medical Center, Inc. | Past | 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
- 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.
-
- Rural Health Clinic/Center
- Haughton, LA
- NPI 1699392589
-
- Rural Health Clinic/Center
- Minden, LA
- NPI 1699834473
-
- Rural Health Clinic/Center
- Minden, LA
- NPI 1720360795
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.