RED RIVER PEDIATRIC CLINIC, LLC
NPI 1023167731
Clinic/Center - Primary Care in Shreveport, LA

Active since January 10, 2007
1801 FAIRFIELD AVE, SUITE 305, SHREVEPORT, LA 71101(318) 221-2900(318) 221-2999 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Red River Pediatric Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED RIVER PEDIATRIC CLINIC, LLC (NPI 1023167731) is a healthcare organization registered as a primary care in Shreveport, Louisiana and active in the NPI registry since January 2007. The organization lists Natalie Mcconnell, Owner, as its authorized official.

NPPES Registry Identity

NPI1023167731
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRED RIVER PEDIATRIC CLINIC, LLC
Location Address1801 FAIRFIELD AVE, SUITE 305Shreveport, LA 71101-4443
Mailing Address1801 Fairfield Ave, Suite 305Shreveport, LA 71101-4443 · (318) 221-2900 · Fax (318) 221-2999
Fax(318) 221-2999
Organization SubpartNo
Authorized OfficialNatalie McconnellOwner · (318) 221-2900
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1023167731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1801 FAIRFIELD AVE, Shreveport, LA 71101

Other Identifiers 1

Medicaid1443646LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1801 FAIRFIELD AVE, SUITE 201
SHREVEPORT, LA 71101
Nurse Practitioner (Pediatrics)
1801 FAIRFIELD AVE, SUITE #301
SHREVEPORT, LA 71101
Obstetrics & Gynecology (Gynecology)
1801 FAIRFIELD AVE, SUITE 207
SHREVEPORT, LA 71101
Specialist
1801 FAIRFIELD AVE, SUITE 207
SHREVEPORT, LA 71101
Pediatrics
1801 FAIRFIELD AVE, SUITE 203
SHREVEPORT, LA 71101
Colon & Rectal Surgery
1801 FAIRFIELD AVE, SUITE 401
SHREVEPORT, LA 71101
Psychiatry & Neurology (Psychiatry)
1801 FAIRFIELD AVE, SUITE 409
SHREVEPORT, LA 71101
Registered Nurse (Ambulatory Care)
1801 FAIRFIELD AVE
SHREVEPORT, LA 71101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red River Pediatric Clinic, LLC's NPI number?

The NPI number for Red River Pediatric Clinic, LLC is 1023167731. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Red River Pediatric Clinic, LLC located?

Red River Pediatric Clinic, LLC is located at 1801 Fairfield Ave Suite 305, Shreveport, LA 71101. The listed phone number is (318) 221-2900.

What is Red River Pediatric Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Red River Pediatric Clinic, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.