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IRENE VIVANCOS KOOPMAN MD
NPI 1235026287
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since June 23, 2025
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0050 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Irene Vivancos Koopman Md NPPES

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

IRENE VIVANCOS KOOPMAN MD (NPI 1235026287) is an individual student in an organized health care education/training program in Shreveport, Louisiana, licensed in Louisiana (347210) and active in the NPI registry since June 2025.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1235026287
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIRENE VIVANCOS KOOPMANCredential: MD
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address1301 Coates Bluff Dr Apt 1332Shreveport, LA 71104-2867 · (512) 484-9720
Phone(318) 626-0050
Sole ProprietorYes
Enumeration DateJune 23, 2025
NPPES CertifiedJune 22, 2025
✔ NPI 1235026287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in LA · 347210
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1501 KINGS HWY, Shreveport, LA 71103
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

KIMBERLY E MEYER PA-C
Physician Assistant
1501 KINGS HWY, DEPT. OF NEUROSURGERY
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2921
MARY T KIM M.D.
Surgery (Plastic and Reconstructive Surgery)
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6154
DR. EZEKIEL J WETZEL M.D.
Anesthesiology
1501 KINGS HWY, DEPARTMENT OF ANESTHESIA
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5298
MR. AARON DEAN CHAUVIN PAC
Physician Assistant
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6885
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Surgery
1501 KINGS HWY, LSUHSC-S DEPARTMENT OF SURGERY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7737
MS. NANCY K BUSHNELL-HARPER MA, LPC
Counselor
1501 KINGS HWY, LSUHSC-S DEPARMTENT OF PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7737
MICHAEL LORING MADDEN M.D.
Family Medicine
1501 KINGS HWY, DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA 71103
Caddo Parish (318) 441-1061
LARRY JOHATHAN EMBREE JR. M.D.
Psychiatry & Neurology (Neurology)
1501 KINGS HWY, DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7737
ALIREZA MINAGAR M.D.
Psychiatry & Neurology (Neurology)
1501 KINGS HWY, DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7737
ROSARIO MARIA RIEL-ROMERO M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1501 KINGS HWY, DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2482
DR. LAUREN MOONAN YOREK M.D.
Emergency Medicine
1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7757
FREDERICK DEAN HEARD M.D.
Family Medicine
1501 KINGS HWY, DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA 71103
Caddo Parish (318) 675-8032
EDWARD HOPKINS LEATHERMAN M.D.
Psychiatry & Neurology (Psychiatry)
1501 KINGS HWY, DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7737
DEEPTI SHUKLA MBBS
Pathology (Anatomic Pathology)
1501 KINGS HWY, DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7737
PATRICK A ADEGBOYEGA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1501 KINGS HWY, DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7737
RONALD GILBERT NIERMAN LPC
Counselor (Professional)
1501 KINGS HWY, DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2445
CHERIE-ANN OLYMPIA NATHAN MBBS
Otolaryngology
1501 KINGS HWY, DEPARTMENT OF OTOLARYNGOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2690
FREDERICK J STUCKER JR. M.D.
Otolaryngology
1501 KINGS HWY, DEPARTMENT OF OTOLARYNGOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2690
EDWARD J. MILLIGAN M.D.
Otolaryngology
1501 KINGS HWY, DEPARTMENT OF OTOLARYNGOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2690
ANNE M HOLLISTER M.D.
Orthopaedic Surgery
1501 KINGS HWY, DEPARTMENT OF ORTHOPAEDICS
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7737

Frequently Asked Questions

What is Irene Vivancos Koopman's NPI number?

The NPI number assigned to this healthcare provider is 1235026287, enumerated as an "individual" on June 23, 2025.

Where is the provider located?

The provider is located at 1501 KINGS HWY SHREVEPORT, LA 71103 and the phone number is (318) 626-0050.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.