My at Home MD, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MY AT HOME MD, LLC

Practice address

745 Olive St Ste 202
Shreveport, LA 71104-2246

Phone

(318) 227-4088

Fax

(318) 227-4086

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Thomas, LPCNPI 1265697551

Title

Ceo

Phone

(318) 227-4088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Bowlin Thomas, LPC

  • Counselor
  • Shreveport, LA
  • NPI 1265697551
  Authorized official Same address or phone

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1881454320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST STE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042246",
            "telephone_number": "318-227-4088",
            "fax_number": "318-227-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST STE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042246",
            "telephone_number": "318-227-4088",
            "fax_number": "318-227-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY AT HOME MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-227-4088",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Musculoskeletal Institute of Louisiana, LLC (Pain Care Consultants)
• Harry Alcus Muslow, MD
• Usman Mustafa, MD
• Zachary Michael Mutter
• Tabitha Muutu
• George Mychaskiw II, D.O.
• Carlee Myers
• Debra Jones Myers, RN, BSN, CNOR, RNFA
• Kasey Lynn Myers, LCSW
• Sarah Myers

• Health Service Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.