Organization Active NPI

Perkins Nurse Practitioner Services

  • Primary Care Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1790316610
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PERKINS NURSE PRACTITIONER SERVICES
Practice address
9307 Melissa Way
Shreveport, LA 71115-2527
Phone
(318) 773-0657
Fax
(318) 688-1559
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Laura B Perkins, NP
Title
President /Nurse Practitioner
Phone
(318) 773-0657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

9307 Melissa Way
Shreveport, LA 71115-2527

Mailing address

PO Box 19284
Shreveport, LA 71149-0284
Phone (318) 773-0657

Other identifiers 1

IdentifierTypeStateIssuer
1982635892OtherLANPI

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL shreveport Direct
CONNECT URL shreveport Direct
CONNECT URL shreveport Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1790316610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19284",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711490284",
            "telephone_number": "318-773-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 MELISSA WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152527",
            "telephone_number": "318-773-0657",
            "fax_number": "318-688-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS NURSE PRACTITIONER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT /NURSE PRACTITIONER",
        "authorized_official_telephone_number": "318-773-0657",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982635892",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shreveport",
            "affiliation": "N",
            "endpointDescription": "shreveport",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9307 Melissa Way",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711152527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shreveport",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9307 Melissa Way",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711152527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shreveport",
            "affiliation": "N",
            "endpointDescription": "shreveport",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9307 Melissa Way",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711152527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.