NPIMap

Organization Active NPI

Christus Trinity Clinic

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
National Provider Identifier
1891422192
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHRISTUS TRINITY CLINIC
Practice address
9300 Mansfield Rd Ste 110
Shreveport, LA 71118-3137
Phone
(318) 629-3763
NPI assigned
Aug 5, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Robert Karl, CPA, MPA
Title
VP, Cfo
Phone
(469) 282-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9300 Mansfield Rd Ste 110
Shreveport, LA 71118-3137

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other names 1

  • Mansfield Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctcpe@christushealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221123000004 LA DME Supplier - Physician - General Practice 3072426741 Practice locations: Shreveport, LA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2044117Christus Trinity Clinic9300 Mansfield Road, Suite 110, Shreveport, LA 71118Certificate of waiverJul 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Trinity Clinic25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1891422192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 MANSFIELD RD STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183137",
            "telephone_number": "318-629-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS TRINITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "469-282-2611",
        "authorized_official_credential": "CPA, MPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctcpe@christushealth.org",
            "affiliation": "N",
            "address_1": "9300 Mansfield Rd Ste 110",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711183137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mansfield",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.