PSYCHIATRIC NURSE PRACTITIONERS
NPI 1043601685
Nurse Practitioner - Psychiatric/Mental Health in Shreveport, LA

Active since February 17, 2015
1651 E 70TH ST # 382, SHREVEPORT, LA 71105(318) 560-5883(318) 216-3940 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Jul 22, 2021, Jun 13, 2020 (3 updates tracked since 2020).

About Psychiatric Nurse Practitioners NPPES

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

PSYCHIATRIC NURSE PRACTITIONERS (NPI 1043601685) is a healthcare organization registered as a psychiatric/mental health in Shreveport, Louisiana and active in the NPI registry since February 2015. The organization lists Denise Knight, Credentialing Admin, as its authorized official.

NPPES Registry Identity

NPI1043601685
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePSYCHIATRIC NURSE PRACTITIONERS
Location Address1651 E 70TH ST # 382Shreveport, LA 71105-5115
Mailing Address2208 Kiber StShreveport, LA 71104-2045 · (318) 560-5883 · Fax (318) 617-1590
Fax(318) 216-3940
Organization SubpartNo
Authorized OfficialDenise KnightCredentialing Admin · (845) 551-9673
Enumeration DateFebruary 17, 2015
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
NPI 1043601685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in LA · RN79944 AP3962
1651 E 70TH ST # 382, Shreveport, LA 71105

Other Identifiers 6

Other3962LA · Advance Practice (ap) License
Other35169LA · Cds
Other79944LA · Rn License No.
Other30188717Ancc Credentialing
Medicaid1032026LA
Other210016LA · Prescriptive Authority (pa)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Psychiatric Nurse Practitioners's NPI number?

The NPI number for Psychiatric Nurse Practitioners is 1043601685. It was assigned to this organization in the NPPES registry on February 17, 2015.

Where is Psychiatric Nurse Practitioners located?

Psychiatric Nurse Practitioners is located at 1651 E 70th St # 382, Shreveport, LA 71105. The listed phone number is (318) 560-5883.

What is Psychiatric Nurse Practitioners's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Psychiatric Nurse Practitioners was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.