Organization Active NPI

Geriatric Nurse Practitioner Consultants Inc

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1932527249
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GERIATRIC NURSE PRACTITIONER CONSULTANTS INC
Practice address
4651 Cambridge Cir
Shreveport, LA 71107-3535
Phone
(318) 423-1943
NPI assigned
Apr 3, 2014
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Mrs. Pamela P Patton, APRNNPI 1588770135
Title
Owner/Operator
Phone
(318) 423-1943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

4651 Cambridge Cir
Shreveport, LA 71107-3535

Mailing address

4651 Cambridge Cir
Shreveport, LA 71107-3535
Phone (318) 423-1943

Other practice location 1

1006 Highland Ave
Shreveport, LA 71101-4103
Phone (318) 423-1943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018003081 LA Part B Supplier - Clinic/Group Practice 6507398294 Receives reassigned benefits from 4 practitioners
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1932527249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CAMBRIDGE CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073535",
            "telephone_number": "318-423-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 CAMBRIDGE CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073535",
            "telephone_number": "318-423-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014103",
            "country_code": "US",
            "telephone_number": "318-423-1943",
            "fax_number": "318-687-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERIATRIC NURSE PRACTITIONER CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "318-423-1943",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.