Individual provider Active NPI

Adrien Ridout

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1902798408
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
241668 Issued in LA
Practice address
2120 Bert Kouns Industrial Loop Ste K&L
Shreveport, LA 71118-3351
Phone
(318) 688-3350
Fax
(866) 554-1862
NPI assigned
Jul 18, 2025
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 241668 LA Primary
Primary Care Nurse Practitioner 363LP2300X 241668 LA
Clinical Nurse Specialist 364S00000X 241668 LA
Family Health Clinical Nurse Specialist 364SF0001X 241668 LA

Addresses

Primary practice location

2120 Bert Kouns Industrial Loop Ste K&L
Shreveport, LA 71118-3351

Mailing address

14461 Highway 157
Benton, LA 71006-4429
Phone (318) 517-2311

Other practice location 1

2120 Airline Dr
Bossier City, LA 71111-3106
Phone (318) 688-3350

Other practice location 2

201 Gray St
Belcher, LA 71004-7729
Phone (903) 947-2020

Other practice location 3

1560 Irving Pl
Shreveport, LA 71101-4604
Phone (318) 688-3350

Other practice location 4

2120 Bert Kouns Industrial Loop Ste A
Shreveport, LA 71118-3351
Phone (318) 688-3350

Other practice location 5

907 Polk St
Mansfield, LA 71052-2520
Phone (318) 688-3350

Other practice location 6

149 Stone Creek Rd
Stonewall, LA 71078-4906
Phone (318) 688-3350

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
I20250807001956 LA Practitioner - Nurse Practitioner 8820596026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Gray St
Belcher, LA 71004-7729
Phone (903) 947-2020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Council for Advancement of Social Service and Education CurrentSince Dec 6, 2025 Accepting new patients
Council for Advancement of Social Service and Education CurrentSince Dec 6, 2025 Accepting new patients
Breedlove Wound Care of Louisiana LLC CurrentSince Jul 1, 2025 Accepting new patients
Council for Advancement of Social Service and Education PastSince Aug 2, 2020 Accepting new patients

Locations

2120 Airline Dr
Bossier City, LA 71111
Phone (318) 688-3350

907 Polk St
Mansfield, LA 71052
Phone (318) 688-3350

1560 Irving Pl
Shreveport, LA 71101
Phone (318) 212-1194

2120 Bert Kouns Industrial Loop
Ste A
Shreveport, LA 71118
Phone (318) 688-3350

2120 Bert Kouns Industrial Loop
Ste H
Shreveport, LA 71118

2120 Bert Kouns Industrial Loop
Ste Kl
Shreveport, LA 71118
Phone (318) 688-3350

149 Stone Creek Rd
Stonewall, LA 71078
Phone (318) 688-3350

Organizations & group practices 5

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": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1902798408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14461 HIGHWAY 157",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710064429",
            "telephone_number": "318-517-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BERT KOUNS INDUSTRIAL LOOP STE K&L",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183351",
            "telephone_number": "318-688-3350",
            "fax_number": "866-554-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Airline Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113106",
            "country_code": "US",
            "telephone_number": "318-688-3350",
            "fax_number": "866-554-1477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Gray St",
            "address_purpose": "LOCATION",
            "city": "Belcher",
            "state": "LA",
            "postal_code": "710047729",
            "country_code": "US",
            "telephone_number": "903-947-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Irving Pl",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014604",
            "country_code": "US",
            "telephone_number": "318-688-3350",
            "fax_number": "888-815-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Bert Kouns Industrial Loop Ste A",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711183351",
            "country_code": "US",
            "telephone_number": "318-688-3350",
            "fax_number": "866-554-1862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 Polk St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "LA",
            "postal_code": "710522520",
            "country_code": "US",
            "telephone_number": "318-688-3350",
            "fax_number": "866-554-1968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 Stone Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Stonewall",
            "state": "LA",
            "postal_code": "710784906",
            "country_code": "US",
            "telephone_number": "318-688-3350",
            "fax_number": "877-370-4226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDOUT",
        "first_name": "ADRIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "241668",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "241668",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "LA",
            "license": "241668",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "LA",
            "license": "241668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.