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WK PIERREMONT PEDIATRICS
NPI 1376745794
Pediatrics in Shreveport, LA

Active since June 05, 2007CLIA 19D1026097 · Accreditation
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 140, SHREVEPORT, LA 71105(318) 797-9000(318) 797-9275 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wk Pierremont Pediatrics NPPES

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

WK PIERREMONT PEDIATRICS (NPI 1376745794) is a healthcare organization registered as a pediatrics in Shreveport, Louisiana and active in the NPI registry since June 2007. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1376745794
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWK PIERREMONT PEDIATRICS
Location Address1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 140Shreveport, LA 71105-5563
Mailing Address1811 E Bert Kouns Industrial Loop, Suite 140Shreveport, LA 71105-5563 · (318) 797-9000 · Fax (318) 797-9275
Phone(318) 797-9000
Fax(318) 797-9275
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232
Enumeration DateJune 5, 2007
Last NPPES UpdateJune 12, 2012
✔ NPI 1376745794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1811 E BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71105
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Other Identifiers 1

Medicaid1448907LA

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 Accreditation 19D1026097

Wk Pierremont Pediatrics · Shreveport, LA
Active · expires Jun 23, 2028
CLIA Number19D1026097
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorDonald G. Mack Jr
Laboratory Phone(318) 212-3900
Laboratory LocationWk Pierremont Pediatrics1811 East Bert Kouns Ind Loop Suite 140, Shreveport, LA 71105
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 11

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

MRS. BRANDY RAMBIN APRN
Nurse Practitioner (Acute Care)
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 110
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858
RUSSELL SHANE CARR M.D.
Family Medicine
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 400
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3810
DR. DMITRI ALEKSENKO M.D.
Psychiatry & Neurology (Neurology)
1811 E BERT KOUNS INDUSTRIAL LOOP, STE 120
SHREVEPORT, LA 71105
Caddo Parish (318) 212-2720
WENDY MCBRIDE MOSES MD
Family Medicine
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 400
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3810
JAI P MUNJAMPALLI M.D.
Pain Medicine (Interventional Pain Medicine)
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 300
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3636
WEBB INTERNAL MEDICINE, LLC
Internal Medicine
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 480
SHREVEPORT, LA 71105
Caddo Parish (318) 220-7047
ALAN J BORNE, M D, APMC
Internal Medicine
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 440
SHREVEPORT, LA 71105
Caddo Parish (318) 222-9205
ALAN JOHN BORNE M.D.
Internal Medicine
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 440
SHREVEPORT, LA 71105
Caddo Parish (318) 222-9205

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 Pierremont Pediatrics's NPI number?

The NPI number for Wk Pierremont Pediatrics is 1376745794. It was assigned to this organization in the NPPES registry on June 5, 2007.

Where is Wk Pierremont Pediatrics located?

Wk Pierremont Pediatrics is located at 1811 E Bert Kouns Industrial Loop Suite 140, Shreveport, LA 71105. The listed phone number is (318) 797-9000.

What is Wk Pierremont Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Wk Pierremont Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 19D1026097) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Pierremont Pediatrics 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 Pierremont Pediatrics 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 Pierremont Pediatrics was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.