Victoria Reyna

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

343023 Issued in LA

Practice address

8731 Park Plaza Dr
Shreveport, LA 71105-5682

Phone

(318) 797-5848

Fax

(318) 797-5844

NPI assigned

May 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arklatex Medical Consultants a Medical CorporationGroup PAC ID 5597001099, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCHDDD

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.

• Arklatex Medical Consultants a Medical Corporation

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1710466628

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Arklatex Medical Consultants a Medical Corporation

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1225871700
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1780432708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8731 PARK PLAZA DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055682",
            "telephone_number": "318-797-5848",
            "fax_number": "318-797-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8731 PARK PLAZA DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055682",
            "telephone_number": "318-797-5848",
            "fax_number": "318-797-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5414 Brittany Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708089139",
            "country_code": "US",
            "telephone_number": "972-523-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "343023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16302840",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restoration Dental Group LLC
• Resurgentmd, Inc.
• Resurrection Center of Louisiana
• Revive Respiratory and DME LLC
• Randi Reyes
• Ashley Reynolds, PHARM D
• Christina Ruth Reynolds, MD
• Grace Ann Reynolds, PHARMD
• Lindsay Reynolds, CRNA
• Rachell K Reynolds

• Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.

Verify at the official NPI Registry.