Active NPI
Mary Charlene Parker, NP
- Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN093600 AP04280
- Practice address
- 1501 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 675-5000
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN093600 AP04280 | LA | Primary |
Addresses
Primary practice location
1501 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6000
Phone (318) 798-4539
Other practice location 1
1455 E Bert Kouns Industrial Loop Ste 300
Shreveport, LA 71105-6000
Phone (318) 798-4488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP04280 | Other | LA | STATE LICENSE |
| 1464597 | Medicaid | LA |
Other names 1
- Mary Charlene Miller
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
Hospital & facility affiliations
- Ochsner Lsu Health Shreveport-St Mary Medical Cent
- Ochsner Lsu Health Shreveport
- West Calcasieu Cameron Hospital
- Willis Knighton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN093600 AP04280 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| David Raines Community Health Center Inc | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| University Health Shreveport LLC | Nurse Practitioner | Current | Accepting new patients |
| University Health Shreveport LLC | Current | Accepting new patients | |
| Butler-Abshire Medical Clinic, Apmc | Past | Accepting new patients | |
| Brfhh Shreveport LLC | Past | Accepting new patients |
Locations
128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545
9320 Linwood Ave
Shreveport, LA 71106
Phone (318) 227-1211
1023 Provenance Pl
Ste 130
Shreveport, LA 71106
Phone (318) 626-0100
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350
911 Margaret Pl
Shreveport, LA 71101
Phone (318) 626-4200
1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
6670 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 626-0500
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
Interoperability endpoints
- mparker775117@direct.ochsner.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1215933254
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1619443611
-
- Federally Qualified Health Center (FQHC)
- Minden, LA
- NPI 1265438998
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1205721487
-
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1629544622
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
-
- Primary Care Clinic/Center
- Haynesville, LA
- NPI 1609929785
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sulphur, LA
- NPI 1083992382
-
- General Acute Care Hospital
- Sulphur, LA
- NPI 1093719932
-
- Multi-Specialty Clinic/Center
- Sulphur, LA
- NPI 1215560974
Hospital
-
- Otolaryngology/Facial Plastic Surgery Physician
- Sulphur, LA
- NPI 1366700387
Hospital
-
- Obstetrics & Gynecology Physician
- Sulphur, LA
- NPI 1619221348
Hospital
-
- Women's Hospital
- Shreveport, LA
- NPI 1285253252
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1962526434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711056000",
"telephone_number": "318-798-4539",
"fax_number": "318-798-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-675-5000"
}
],
"practiceLocations": [
{
"address_1": "1455 E Bert Kouns Industrial Loop Ste 300",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711056000",
"country_code": "US",
"telephone_number": "318-798-4488",
"fax_number": "318-798-4420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "MARY",
"middle_name": "CHARLENE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "RN093600 AP04280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AP04280",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1464597",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "MILLER",
"middle_name": "CHARLENE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.