Individual provider Active NPI

Christina Ann Camp Cockerham, WHNP

  • Women's Health Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1962714196
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP06125 Issued in LA
Practice address
1400 E Bert Kouns Industrial Loop Ste 100
Shreveport, LA 71105-5647
Phone
(318) 681-4606
Fax
(318) 681-4607
NPI assigned
Jul 2, 2010
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP06125 LA Primary

Addresses

Primary practice location

1400 E Bert Kouns Industrial Loop Ste 100
Shreveport, LA 71105-5647

Mailing address

112 Maverick CT
Granbury, TX 76049-1381
Phone (888) 731-8994

Other practice location 1

222 2nd Ave S Fl 17
Nashville, TN 37201-2366
Phone (888) 731-8994

Other practice location 2

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 3

301 Main St Ste 2200
Baton Rouge, LA 70801-0014
Phone (888) 731-8994

Other practice location 4

112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994

Other identifiers 1

IdentifierTypeStateIssuer
2515331MedicaidLA

Other names 1

  • Christina Leach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150414002169 TX Practitioner - Nurse Practitioner 5698907335 Reassigns benefits to 1 organization
I20200117000223 LA Practitioner - Nurse Practitioner 5698907335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1400 E Bert Kouns Industrial Loop
100 Christus Trinity Clinic Fern Avenue
Shreveport, LA 71105-5647
Phone (318) 681-4319

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06125LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Aug 25, 2025 Accepting new patients
Council for Advancement of Social Service and Education CurrentSince Nov 10, 2022 Accepting new patients
C H Wilkinson Physician Network Nurse Practitioner CurrentSince May 4, 2015 Accepting new patients
Council for Advancement of Social Service and Education CurrentSince Nov 10, 2022 Accepting new patients
Minden Physician Practices LLC Current Accepting new patients
Minden Physician Practices LLC CurrentSince Oct 8, 2019 Accepting new patients
Minden Physician Practices, LLC CurrentSince Oct 8, 2019 Accepting new patients
C H Wilkinson Physician Network CurrentSince May 4, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 25, 2025 Accepting new patients
Council for Advancement of Social Service and Education Past Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

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

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

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

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

346 Homer Rd
Minden, LA 71055
Phone (318) 377-4625

427 Homer Rd
Minden, LA 71055
Phone (318) 377-8855

431 Homer Rd
Minden, LA 71055
Phone (318) 377-8855

1400 E Bert Kouns Industrial Loop
Ste 100
Shreveport, LA 71105
Phone (318) 681-4319

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2120 Bert Kouns Industrial Loop
Ste A
Shreveport, LA 71118
Phone (318) 686-9986

7121 Spid Dr
Ste 200
Corpus Christi, TX 78412
Phone (361) 993-6000

919 Hidden Rdg
Irving, TX 75038

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

1311 Gen Cvazos Blvd
Ste 305
Kingsville, TX 78363
Phone (361) 592-2223

Interoperability endpoints

  • Direct secure messaging: christina.leach.1@27069.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 11

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.

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1962714196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAVERICK CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760491381",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BERT KOUNS INDUSTRIAL LOOP STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055647",
            "telephone_number": "318-681-4606",
            "fax_number": "318-681-4607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 2nd Ave S Fl 17",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372012366",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Main St Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708010014",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Maverick Ct",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760491381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMP COCKERHAM",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP06125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2515331",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "LEACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.