ALLISON LOUISE DERISE MD
NPI 1063162626
Student in an Organized Health Care Education/Training Program in Shreveport, LA
About Allison Louise Derise Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLISON LOUISE DERISE MD (NPI 1063162626) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Allison Louise Derise Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Allison Derise's NPI number?
The NPI number for Allison Derise is 1063162626. It was assigned to this individual provider in the NPPES registry on March 26, 2022.
Where is Allison Derise located?
Allison Derise practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-4335.
What is Allison Derise's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Allison Derise enrolled in Medicare?
Yes. Allison Derise is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Allison Derise was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Allison Louise Derise, MD · NPI 1063162626
Student in an Organized Health Care Education/Training Program provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since March 26, 2022.
## Identity
- **NPI:** 1063162626 (Entity type: Individual)
- **Enumerated:** March 26, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 626-4335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063162626) · Data from the CMS NPPES public registry.