Individual provider Active NPI

Teresa T. Kevil, APRN, BC, ANP

  • Adult Health Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1861559098
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN032673 - APO1989 Issued in LA
Practice address
1233 Sprague St
Shreveport, LA 71101-3349
Phone
(318) 227-2912
NPI assigned
Jan 3, 2007
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN032673 - APO1989 LA Primary

Addresses

Primary practice location

1233 Sprague St
Shreveport, LA 71101-3349

Mailing address

68 Colony BND
#195
Shreveport, LA 71115-3159
Phone (318) 677-3086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN032673 - APO1989LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Health Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1861559098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 COLONY BND",
            "address_2": "#195",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153159",
            "telephone_number": "318-677-3086",
            "fax_number": "318-677-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SPRAGUE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013349",
            "telephone_number": "318-227-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVIL",
        "first_name": "TERESA",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "APRN, BC, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN032673 - APO1989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.