OCHSNER LSU HEALTH SHREVEPORT
NPI 1619443611
Nurse Practitioner in Shreveport, LA

Q: What is University Health Shreveport LLC's NPI number?

The NPI number for University Health Shreveport LLC is 1619443611. It was assigned to this organization in the NPPES registry on October 17, 2018. The provider is doing business as Ochsner Lsu Health Shreveport.

Q: What is University Health Shreveport LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 17, 2018

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 675-7636(318) 675-7531 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2018, Oct 17, 2018 (2 updates tracked since 2018).

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About Ochsner Lsu Health Shreveport NPPES

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

OCHSNER LSU HEALTH SHREVEPORT (NPI 1619443611) is a healthcare organization registered as a nurse practitioner in Shreveport, Louisiana and active in the NPI registry since October 2018. The organization lists Vernon Moore, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619443611

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameUNIVERSITY HEALTH SHREVEPORT LLC

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1541 Kings HwyShreveport, LA 71103-4228 · (318) 675-7636 · Fax (318) 675-7531

Phone(318) 675-7636

Fax(318) 675-7531

Organization SubpartNo

Authorized OfficialVernon MooreCfo · (318) 626-0000

Enumeration DateOctober 17, 2018

Last NPPES UpdateDecember 10, 20182 updates tracked since enumeration

✔ NPI 1619443611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPhysician AssistantTaxonomy 363A00000X

1541 KINGS HWY, Shreveport, LA 71103

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Other Names 1

Doing Business AsOchsner Lsu Health Shreveport

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ochsner Lsu Health Shreveport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

173

Medicare enrollment records show 173 clinicians reassign Medicare billing to Ochsner Lsu Health Shreveport, which bills Medicare for the services they deliver. Of these, 61 practice at this address and 117 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)98

Nurse Practitioner75

Nearest to this location (20)

See all 173

Sharon Adley, NP

Nurse Practitioner

NPI 1770581274