1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Point Of Service
  6. NPI Profile

HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC
NPI 1619353802
Point of Service in Shreveport, LA

Active since August 10, 2015
4571 N MARKET ST, SHREVEPORT, LA 71107(318) 934-0097(318) 934-0097 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Harris Memorial Pediatric & Family Clinic NPPES

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

HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC (NPI 1619353802) is a healthcare organization registered as a point of service in Shreveport, Louisiana and active in the NPI registry since August 2015. The organization lists Richard L Jackson, Cheif Executive Office, as its authorized official.

NPPES Registry Identity

NPI1619353802
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameHARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC
Location Address4571 N MARKET STShreveport, LA 71107-2917
Mailing AddressPo Box 7312Shreveport, LA 71137-7312 · (318) 205-4075 · Fax (318) 754-4134
Phone(318) 934-0097
Fax(318) 934-0097
Organization SubpartNo
Authorized OfficialRichard L JacksonCheif Executive Office · (318) 205-4075
Enumeration DateAugust 10, 2015
✔ NPI 1619353802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
4571 N MARKET ST, Shreveport, LA 71107
Open in Google Maps ↗

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.

BRITTANY LUKE
Case Manager/Care Coordinator
4571 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
SYDNEE ASHTON MILLER LMSW
Social Worker
4571 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 429-6938
BRIGHTER FUTURE COUNSELING SERVICES, LLC
Community/Behavioral Health
4571 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
TANGELA MARIE BETFORD PLMSW
Social Worker
4571 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
MARSHA KELLUM
Case Manager/Care Coordinator
4571 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
CORSICA C CARROLL
Counselor (Mental Health)
4571 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
TAMIA BROWN
Case Manager/Care Coordinator
4571 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
CRYSTAL TASBY
Case Manager/Care Coordinator
4571 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735

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 Harris Memorial Pediatric & Family Clinic's NPI number?

The NPI number for Harris Memorial Pediatric & Family Clinic is 1619353802. It was assigned to this organization in the NPPES registry on August 10, 2015.

Where is Harris Memorial Pediatric & Family Clinic located?

Harris Memorial Pediatric & Family Clinic is located at 4571 N Market St, Shreveport, LA 71107. The listed phone number is (318) 934-0097.

What is Harris Memorial Pediatric & Family Clinic's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Harris Memorial Pediatric & Family Clinic was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.