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SHREVEPORT VAMC
NPI 1043090509
Clinic/Center - VA in Shreveport, LA

Active since October 03, 2023
510 E STONER AVE, SHREVEPORT, LA 71101(615) 355-3451 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shreveport Vamc NPPES

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

SHREVEPORT VAMC (NPI 1043090509) is a healthcare organization registered as a va in Shreveport, Louisiana and active in the NPI registry since October 2023. The organization lists Erin Denise Potter, Npi Team Lead, as its authorized official.

NPPES Registry Identity

NPI1043090509
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameSHREVEPORT VAMC
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing AddressPo Box 94538Cleveland, OH 44101-4538 · (615) 355-3451
Phone(615) 355-3451
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team Lead · (202) 382-2579
Enumeration DateOctober 3, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1043090509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
510 E STONER AVE, Shreveport, LA 71101
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Other Names 1

Other NameShreveport 1 Va Mobile Clinic

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.

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

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 Shreveport Vamc's NPI number?

The NPI number for Shreveport Vamc is 1043090509. It was assigned to this organization in the NPPES registry on October 3, 2023. The provider is also known as Shreveport 1 VA Mobile Clinic.

Where is Shreveport Vamc located?

Shreveport Vamc is located at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (615) 355-3451.

What is Shreveport Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Shreveport Vamc was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.