Active NPI
Shantell J Ford, RMA, CPT
- Phlebotomy Technician
- Shreveport, LA
National Provider Identifier
1790597565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 93103022
- Practice address
- 3000 Knight St Ste 251
Shreveport, LA 71105-2566 - Phone
- (318) 780-4031
- NPI assigned
- Jan 20, 2025
- Last updated
- Jan 20, 2025
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 93103022 | LA | Primary |
Addresses
Primary practice location
3000 Knight St Ste 251
Shreveport, LA 71105-2566
Mailing address
3000 Knight St Ste 251
Shreveport, LA 71105-2566
Phone (318) 780-4031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93103022 | LA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1790597565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 KNIGHT ST STE 251",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052566",
"telephone_number": "318-780-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 KNIGHT ST STE 251",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052566",
"telephone_number": "318-780-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "SHANTELL",
"middle_name": "J",
"credential": "RMA, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "LA",
"license": "93103022",
"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 Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.