Active NPI
Teresa T. Kevil, APRN, BC, ANP
- Adult Health Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1861559098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN032673 - APO1989
- Practice address
- 1233 Sprague St
Shreveport, LA 71101-3349 - Phone
- (318) 227-2912
- NPI assigned
- Jan 3, 2007
- Last updated
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN032673 - APO1989 | LA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Shreveport, LA
- NPI 1265675029
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.