Individual provider Active NPI

Stephanie Dennison

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1760092282
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239278 Issued in LA
Practice address
1666 E Bert Kouns Industrial Loop Ste 105
Shreveport, LA 71105-5718
Phone
(318) 212-3520
NPI assigned
Aug 10, 2020
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 239278 LA
Family Nurse Practitioner 363LF0000X 0995641 CO
Family Nurse Practitioner 363LF0000X 239278 LA Primary

Addresses

Primary practice location

1666 E Bert Kouns Industrial Loop Ste 105
Shreveport, LA 71105-5718

Mailing address

1666 E Bert Kouns Industrial Loop Ste 105
Shreveport, LA 71105-5718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210517001267 CO Practitioner - Nurse Practitioner 5193134419 Reassigns benefits to 1 organization
I20250326003311 LA Practitioner - Nurse Practitioner 5193134419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Urgent Care Center-PierremontGroup PAC ID 8123016946, 39 clinicians

Practice addresses (Care Compare)

1666 E Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71105-5718
Phone (318) 212-3520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0995641COMDFamily Nurse Practitioner
239278LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Mar 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 20, 2021 Accepting new patients
WK Urgent Care Center-Pierremont CurrentSince Dec 31, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 10, 2026 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

11605 Meridian Market Vw
Ste 184UCHMG
Falcon, CO 80831
Phone (719) 364-9555

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

207 Thomas Rd
West Monroe, LA 71291
Phone (318) 267-9777

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1760092282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 E BERT KOUNS INDUSTRIAL LOOP STE 105",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 E BERT KOUNS INDUSTRIAL LOOP STE 105",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055718",
            "telephone_number": "318-212-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "239278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0995641",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "239278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.