Individual provider Active NPI

Matthew Wade Allred

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1982415766
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
241587 Issued in LA
Practice address
4400 Old Sterlington Rd
Monroe, LA 71203-2396
Phone
(318) 324-1414
NPI assigned
Jan 20, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 241587 LA Primary

Addresses

Primary practice location

4400 Old Sterlington Rd
Monroe, LA 71203-2396

Mailing address

4400 Old Sterlington Rd
Monroe, LA 71203-2396
Phone (318) 324-1414

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
I20251007000628 LA Practitioner - Nurse Practitioner 7214432772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Keith Calhoun, a Professional Medical CorporationGroup PAC ID 6608905054, 2 clinicians

Practice addresses (Care Compare)

4400 Old Sterlington Rd
Monroe, LA 71203-2396
Phone (318) 324-1414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241587LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Keith Calhoun, a Professional Medical Corporation CurrentSince Aug 1, 2025 Accepting new patients

Locations

4400 Old Sterlington Rd
Monroe, LA 71203
Phone (318) 324-1414

Organizations & group practices 1

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 2

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1982415766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 OLD STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032396",
            "telephone_number": "318-324-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 OLD STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032396",
            "telephone_number": "318-324-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "MATTHEW",
        "middle_name": "WADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "241587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.