Individual provider Active NPI

Teri Duggan, NP

  • Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1992282719
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP10097 Issued in LA
Practice address
2449 Hospital Dr Ste 280
Bossier City, LA 71111-1900
Phone
(318) 841-4004
NPI assigned
Jul 24, 2018
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP10097 LA Primary

Addresses

Primary practice location

2449 Hospital Dr Ste 280
Bossier City, LA 71111-1900

Mailing address

2611 Brownlee Rd
Bossier City, LA 71111-2013
Phone (903) 235-2727

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

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
I20180910000749 LA Practitioner - Nurse Practitioner 3577813732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services la LLCGroup PAC ID 6901206416, 44 clinicians
Curana Health of Louisiana LLCGroup PAC ID 4880731355, 140 clinicians

Practice addresses (Care Compare)

100 Kingston Rd
Sulphur, LA 70663-4016
Phone (337) 991-9276

2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10097LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Louisiana LLC CurrentSince Dec 13, 2023 Accepting new patients
WK Bossier Orthopedic & Sports CurrentSince Sep 1, 2018 Accepting new patients
Guidco Medical, LLC CurrentSince Oct 27, 2020 Accepting new patients

Locations

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

2449 Hospital Dr
Ste 280
Bossier City, LA 71111
Phone (318) 212-7850

2449 Hospital Dr
Ste 340
Bossier City, LA 71111
Phone (318) 212-7160

4900 Medical Dr
Bossier City, LA 71112
Phone (318) 747-9500

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1992282719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 BROWNLEE RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112013",
            "telephone_number": "903-235-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 280",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111900",
            "telephone_number": "318-841-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "TERI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP10097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.