Active NPI
WK Pierremont Neurology Clinic
- Neurology Physician
- Shreveport, LA
National Provider Identifier
1790390995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- WK PIERREMONT NEUROLOGY CLINIC
- Practice address
- 1811 E Bert Koun Loop Ste 200
Shreveport, LA 71105-5766 - Phone
- (318) 212-2720
- NPI assigned
- Sep 14, 2020
- Last updated
- Mar 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Jane Ward
- Title
- Senior VP Finance
- Phone
- (318) 716-4891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1811 E Bert Koun Loop Ste 200
Shreveport, LA 71105-5766
Mailing address
1811 E Bert Kouns Industrial Loop Ste 200
Shreveport, LA 71105-5766
Phone (318) 212-2720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
Member Of
Locations
1811 E Bert Kouns Industrial Loop
Ste 200
Shreveport, LA 71105
Phone (318) 212-2720
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Shreveport, LA
- NPI 1629451638
-
- Neurology Physician
- Shreveport, LA
- NPI 1235349812
-
- Neurology Physician
- Shreveport, LA
- NPI 1043662984
-
- Clinical Psychologist
- Shreveport, LA
- NPI 1609809912
-
- Primary Care Nurse Practitioner
- Shreveport, LA
- NPI 1538752407
-
- Medical Physician Assistant
- Shreveport, LA
- NPI 1114924404
-
- Acute Care Nurse Practitioner
- Shreveport, LA
- NPI 1750154647
-
- Critical Care Medicine Nurse Practitioner
- Vivian, LA
- NPI 1124891890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1790390995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 E BERT KOUNS INDUSTRIAL LOOP STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055766",
"telephone_number": "318-212-2720",
"fax_number": "218-212-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 E BERT KOUN LOOP STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055766",
"telephone_number": "318-212-2720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WK PIERREMONT NEUROLOGY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-14",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "SENIOR VP FINANCE",
"authorized_official_telephone_number": "318-716-4891",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"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 Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.