WK SWAN LAKE DIABETES & ENDOCRINOLOGY
NPI 1326730573
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bossier City, LA

Q: What is Wk Swan Lake Diabetes & Endocrinology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since May 25, 2023CLIA 19D2284037 · Waiver

5341 AIRLINE DRIVE, SUITE 100, BOSSIER CITY, LA 71111(318) 935-1810(318) 935-1867 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wk Swan Lake Diabetes & Endocrinology NPPES

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

WK SWAN LAKE DIABETES & ENDOCRINOLOGY (NPI 1326730573) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Bossier City, Louisiana and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Mary Jane Ward, Sr. Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1326730573

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameWK SWAN LAKE DIABETES & ENDOCRINOLOGY

Location Address5341 AIRLINE DRIVE, SUITE 100Bossier City, LA 71111

Mailing Address5341 Airline Drive, Suite 100Bossier City, LA 71111 · (318) 935-1810 · Fax (318) 935-1867

Phone(318) 935-1810

Fax(318) 935-1867

Organization SubpartNo

Authorized OfficialMary Jane WardSr. Vp Finance · (318) 716-4937

Enumeration DateMay 25, 2023

NPPES CertifiedMay 16, 2023

✔ NPI 1326730573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

5341 AIRLINE DRIVE, Bossier City, LA 71111

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 19D2284037

Wk Swan Lake Diabetes & Endocrinology · Bossier City, LA

Active · expires Jun 14, 2027

CLIA Number19D2284037

Laboratory TypePhysician Office

Certificate Effective DateJune 15, 2025

Certificate Expiration DateJune 14, 2027

Laboratory DirectorDerek T. Rainwater

Laboratory Phone(318) 935-1810

Laboratory LocationWk Swan Lake Diabetes & Endocrinology5341 Airline Drive, Suite 100, Bossier City, LA 71111

CLIA data matches this NPI record on: Address Name Phone

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.

DEREK RAINWATER MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

5341 AIRLINE DRIVE, SUITE 100
BOSSIER CITY, LA 71111

Bossier Parish (318) 935-1810

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 Wk Swan Lake Diabetes & Endocrinology's NPI number?

The NPI number for Wk Swan Lake Diabetes & Endocrinology is 1326730573. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is Wk Swan Lake Diabetes & Endocrinology located?

Wk Swan Lake Diabetes & Endocrinology is located at 5341 Airline Drive Suite 100, Bossier City, LA 71111. The listed phone number is (318) 935-1810.

What is Wk Swan Lake Diabetes & Endocrinology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Wk Swan Lake Diabetes & Endocrinology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2284037) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Swan Lake Diabetes & Endocrinology accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Swan Lake Diabetes & Endocrinology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wk Swan Lake Diabetes & Endocrinology was last updated on May 25, 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.