Individual provider Active NPI

Ramee Dickerson

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1841674074
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08391 Issued in LA
Practice address
2551 Greenwood Rd Ste 210
Shreveport, LA 71103-3985
Phone
(318) 212-6734
Fax
(318) 212-4153
NPI assigned
Jul 17, 2015
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08391 LA Primary

Addresses

Primary practice location

2551 Greenwood Rd Ste 210
Shreveport, LA 71103-3985

Mailing address

3 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 377-7134

Other practice location 1

3 Medical Plaza Pl
Minden, LA 71055-3330
Phone (318) 377-7134

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222000332 LA Practitioner - Nurse Practitioner 7315248036 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 382-4090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08391LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Lake Emergency Group, LLC Nurse Practitioner CurrentSince Jul 13, 2019 Accepting new patients
Webster Emergency Group LLC Nurse Practitioner CurrentSince Feb 3, 2016 Accepting new patients
Northeast Louisiana Physicians, LLC Nurse Practitioner CurrentSince Feb 13, 2024 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Oct 28, 2018 Accepting new patients
Minden Physician Practices LLC Current Accepting new patients
Northern Louisiana Emergency Physicians, LLP Nurse Practitioner CurrentSince Oct 28, 2018 Accepting new patients
Northern Louisiana Emergency Physicians LLP Nurse Practitioner CurrentSince Jan 6, 2025 Accepting new patients
Minden Physician Practices LLC CurrentSince Sep 19, 2019 Accepting new patients
Minden Physician Practices LLC CurrentSince Sep 19, 2019 Accepting new patients
Minden Physician Practices LLC Family Past Accepting new patients
Bryn-Fincher Pulmonary & Critical Care PastSince Jun 27, 2021 Accepting new patients

Locations

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

102 Office Park Dr
Minden, LA 71055
Phone (318) 377-2885

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

3 Medical Plaza Pl
Minden, LA 71055
Phone (318) 377-7134

346 Homer Rd
Minden, LA 71055
Phone (318) 377-4625

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

Interoperability endpoints

  • Direct secure messaging: ramee.dickerson.1@3681.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1841674074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033985",
            "telephone_number": "318-212-6734",
            "fax_number": "318-212-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Medical Plaza Pl",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553330",
            "country_code": "US",
            "telephone_number": "318-377-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "RAMEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.