Individual provider Active NPI

Karen Adeline Purdy, M.D.

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1932106952
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.018977 Issued in LA
Practice address
2715 Alkay Dr
Shreveport, LA 71118-2509
Phone
(318) 212-8951
Fax
(318) 212-6752
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD.018977 LA
Family Medicine Physician 207Q00000X MD.018977 LA Primary

Addresses

Primary practice location

2715 Alkay Dr
Shreveport, LA 71118-2509

Mailing address

2715 Alkay Dr
Shreveport, LA 71118-2509
Phone (318) 212-8951

Other practice location 1

2750 Gause Blvd E
Slidell, LA 70461-4149
Phone (985) 639-3777

Other identifiers 9

IdentifierTypeStateIssuer
080157229OtherTNRAILROAD MEDICARE
140376OtherUNITED HEALTHCARE
3147088OtherTNBCBS
3851650MedicaidTN
96964OtherARBCBS
148975MedicaidAL
00114317MedicaidMS
2708986OtherCIGNA
1726672MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229001095 LA Practitioner - Family Practice 7618020892 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.018977LAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 1, 2014 Accepting new patients
Ochsner Clinic LLC General Practice CurrentSince Nov 1, 2014 Accepting new patients
WK Urgent Care Center-Pierremont Family Medicine CurrentSince Jul 2, 2018 Accepting new patients
Ochsner Clinic LLC General Practice Current Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

9460 Ellerbe Rd
Ste 140
Shreveport, LA 71106
Phone (318) 213-7070

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

2750 Gause Blvd E
Slidell, LA 70461

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1932106952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 ALKAY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182509",
            "telephone_number": "318-212-8951",
            "fax_number": "318-212-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 ALKAY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182509",
            "telephone_number": "318-212-8951",
            "fax_number": "318-212-6752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Gause Blvd E",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614149",
            "country_code": "US",
            "telephone_number": "985-639-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURDY",
        "first_name": "KAREN",
        "middle_name": "ADELINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.018977",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.018977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080157229",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "140376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3147088",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3851650",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96964",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148975",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114317",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2708986",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1726672",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.