Individual provider Active NPI

Elena Urbiztondo

  • Adult Psychiatric/Mental Health Registered Nurse
  • Shreveport, LA
National Provider Identifier
1881226561
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
95029848 Issued in CA
Practice address
2924 Knight St Ste 402
Shreveport, LA 71105-2413
Phone
(318) 408-2880
NPI assigned
Feb 10, 2020
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 211603 LA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 95029848 CA Primary

Addresses

Primary practice location

2924 Knight St Ste 402
Shreveport, LA 71105-2413

Mailing address

9832 Amblewood LN
Shreveport, LA 71118-5054
Phone (318) 671-3088

Other names 1

  • Elena Urbiztondo Former name

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
I20210610000645 LA Practitioner - Nurse Practitioner 8022418276 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211603LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Acquisition-Shreveport Inc. Psychiatry CurrentSince Mar 6, 2021 Accepting new patients
Brentwood Acquisition-Shreveport Inc. Psychiatry CurrentSince Mar 6, 2021 Accepting new patients
Positive Transformation Mental Health Services Psychiatric/Mental Health CurrentSince Nov 8, 2025 Accepting new patients

Locations

1006 Highland Ave
Shreveport, LA 71101
Phone (318) 222-6226

2924 Knight St
Ste 402
Shreveport, LA 71105
Phone (318) 408-2880

Interoperability endpoints

  • Direct secure messaging: patientinfo@org80.direct.charmhealth.com

Organizations & group practices 3

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1881226561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 AMBLEWOOD LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711185054",
            "telephone_number": "318-671-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 402",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-408-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBIZTONDO",
        "first_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "211603",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95029848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "URBIZTONDO",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.