Active NPI
Jennifer Cameron Hart, NP
- Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN110584APO5876
- Practice address
- 5948 N Market St
Shreveport, LA 71107-2017 - Phone
- (318) 375-0001
- Fax
- (318) 375-0002
- NPI assigned
- Aug 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN110584APO5876 | LA | Primary |
Addresses
Primary practice location
5948 N Market St
Shreveport, LA 71107-2017
Mailing address
5948 N Market St
Shreveport, LA 71107-2017
Phone (318) 375-0001
Other practice location 1
188 Burt Blvd
Benton, LA 71006-4900
Phone (318) 965-5017
Other practice location 2
112 N Forrest Rd
Plain Dealing, LA 71064-4031
Phone (318) 326-7272
Other practice location 3
815 S Pine St
Vivian, LA 71082-3314
Phone (318) 375-3239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2197711 | Medicaid | LA | |
| AP05876 | Other | LA | LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5948 N Market St
Shreveport, LA 71107-2017
Phone (318) 375-4097
Hospital & facility affiliations
- Primestar Home Health of Nwla, Inc
- Centerwell Home Health
- North Caddo Medical Center
- Willis Knighton Medical Center
- Christus Shreveport-Bossier Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN110584APO5876 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Caddo Hospital Service District | Current | Accepting new patients | |
| Benton Medical | Current | Accepting new patients | |
| North Caddo Hospital Service District | Current | Accepting new patients | |
| North Caddo Hospital Service District | Current | Accepting new patients | |
| South Bossier Medical | Past | Accepting new patients | |
| North Caddo Medical Center Community RX | Past | Accepting new patients |
Locations
188 Burt Blvd
Benton, LA 71006
Phone (318) 965-1000
112 N Forrest Rd
Plain Dealing, LA 71064
Phone (318) 326-7272
5948 N Market St
Shreveport, LA 71107
Phone (318) 375-0001
815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239
Interoperability endpoints
- jenniferhart@ncmc.allscriptsdirect.net
Organizations & group practices 7
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
- Shreveport, LA
- NPI 1760089791
-
- Clinic/Center
- Benton, LA
- NPI 1932585841
-
- Critical Access Hospital
- Vivian, LA
- NPI 1326016684
-
- Family Medicine Physician
- Plain Dealing, LA
- NPI 1477798668
-
- Rural Health Clinic/Center
- Vivian, LA
- NPI 1013181866
-
- Community/Retail Pharmacy
- Bossier City, LA
- NPI 1174315584
-
- Rural Health Clinic/Center
- Bossier City, LA
- NPI 1649993585
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- Critical Access Hospital
- Vivian, LA
- NPI 1326016684
-
- Home Health Agency
- Minden, LA
- NPI 1952350456
-
- Home Health Agency
- Coushatta, LA
- NPI 1982696217
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1780815985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5948 N MARKET ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711072017",
"telephone_number": "318-375-0001",
"fax_number": "318-375-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5948 N MARKET ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711072017",
"telephone_number": "318-375-0001",
"fax_number": "318-375-0002"
}
],
"practiceLocations": [
{
"address_1": "188 Burt Blvd",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "LA",
"postal_code": "710064900",
"country_code": "US",
"telephone_number": "318-965-5017",
"fax_number": "318-965-2019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 N Forrest Rd",
"address_purpose": "LOCATION",
"city": "Plain Dealing",
"state": "LA",
"postal_code": "710644031",
"country_code": "US",
"telephone_number": "318-326-7272",
"fax_number": "318-326-7282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 S Pine St",
"address_purpose": "LOCATION",
"city": "Vivian",
"state": "LA",
"postal_code": "710823314",
"country_code": "US",
"telephone_number": "318-375-3239",
"fax_number": "318-375-5938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HART",
"first_name": "JENNIFER",
"middle_name": "CAMERON",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-05",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "RN110584APO5876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2197711",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AP05876",
"state": "LA"
}
],
"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 Jun 7, 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.