NSU SPORTS MEDICINE
NPI 1306359963
Orthopaedic Surgery in Natchitoches, LA

Active since November 06, 2017CLIA 19D2029466 · Waiver
468 CASPARI DRIVE, NATCHITOCHES, LA 71497(972) 367-4845 Get Directions Write a Review

NPPES record last updated: November 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nsu Sports Medicine NPPES

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

NSU SPORTS MEDICINE (NPI 1306359963) is a healthcare organization registered as an orthopaedic surgery in Natchitoches, Louisiana and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Mouzon Bass, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306359963
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameNORTHWESTERN STATE UNIVERSITY
Location Address468 CASPARI DRIVENatchitoches, LA 71497-0001
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator · (972) 367-4845
Enumeration DateNovember 6, 2017
NPI 1306359963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in LA · MD.15580R
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
468 CASPARI DRIVE, Natchitoches, LA 71497

Other Names 1

Doing Business AsNsu Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2029466

Northwestern State University Health Services · Natchitoches, LA
Active · expires Sep 7, 2027
CLIA Number19D2029466
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorJessica Nash
Laboratory Phone(318) 357-5351
Laboratory LocationNorthwestern State University Health Services315 Caspari, Natchitoches, LA 71497
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Specialist/Technologist (Athletic Trainer)
468 CASPARI DRIVE
NATCHITOCHES, LA 71497

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 Northwestern State University's NPI number?

The NPI number for Northwestern State University is 1306359963. It was assigned to this organization in the NPPES registry on November 6, 2017. The provider is doing business as Nsu Sports Medicine.

Where is Northwestern State University located?

Northwestern State University is located at 468 Caspari Drive, Natchitoches, LA 71497. The listed phone number is (972) 367-4845.

What is Northwestern State University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Northwestern State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2029466) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwestern State University was last updated on November 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.