Monica Larose Haynes MD and Willis-Knighton Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MONICA LAROSE HAYNES MD AND WILLIS-KNIGHTON MEDICAL CENTER

Practice address

7847 Youree Dr
Shreveport, LA 71105-5505

Phone

(318) 212-3930

Fax

(318) 212-3935

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Greg J. Gavin

Title

Network Administrator

Phone

(318) 212-3930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1891721130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7847 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055505",
            "telephone_number": "318-212-3930",
            "fax_number": "318-212-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7847 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055505",
            "telephone_number": "318-212-3930",
            "fax_number": "318-212-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA LAROSE HAYNES MD AND WILLIS-KNIGHTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-212-3930"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487082",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian A. Monaco, MD
• Brittany SH Monceaux, MD
• Shari Lynn Moncla, LPC/LMFT
• Cynthia Monette
• Kendera Monette
• Georgia Shively Monk, PA-C
• Melonie Michele Monk, NNP
• Monroe Medical Management
• Monroe Medical Management LLC
• Roberto Rodriquez Monsanto II, NP

• Pediatrics Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.