Individual provider Active NPI

Chris D Howard, NP

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1891821583
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN078162 Issued in LA
Practice address
1500 Line Avenue
Ste 200
Shreveport, LA 71101
Phone
(318) 629-5555
Fax
(318) 629-5556
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APO3664 LA
Nurse Practitioner 363L00000X RN078162 LA Primary

Addresses

Primary practice location

1500 Line Avenue
Ste 200
Shreveport, LA 71101

Mailing address

1500 Line Avenue
Ste 204
Shreveport, LA 71101
Phone (318) 629-5001

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
I20100902000254 LA Practitioner - Nurse Practitioner 1759405467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Institute of Louisiana LLCGroup PAC ID 3375719446, 13 clinicians

Practice addresses (Care Compare)

1500 Line Ave
Suite 200
Shreveport, LA 71101-4643
Phone (318) 629-5560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO3664LAMDNurse Practitioner
RN078162LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Institute of Louisiana LLC CurrentSince Jan 1, 2012 Accepting new patients

Locations

1500 Line Ave
Ste 200
Shreveport, LA 71101
Phone (318) 629-5555

1500 Line Ave
Ste 204
Shreveport, LA 71101
Phone (318) 629-5001

1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052

Interoperability endpoints

  • Direct secure messaging: chris.howard.p1@direct.sil.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1891821583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LINE AVENUE",
            "address_2": "STE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVENUE",
            "address_2": "STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-629-5555",
            "fax_number": "318-629-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CHRIS",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "APO3664",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN078162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.