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VIVIAN ELIZABETH MIRE MD
NPI 1649114935
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since April 16, 2026PECOS Enrolled
915 MARGARET PL, SHREVEPORT, LA 71101(318) 675-5379(318) 676-7523 Get Directions Write a Review

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

About Vivian Elizabeth Mire Md NPPES

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

VIVIAN ELIZABETH MIRE MD (NPI 1649114935) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649114935
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVIVIAN ELIZABETH MIRECredential: MD
Location Address915 MARGARET PLShreveport, LA 71101-4346
Mailing Address915 Margaret PlShreveport, LA 71101-4346 · (318) 675-5379 · Fax (318) 676-7523
Phone(318) 675-5379
Fax(318) 676-7523
Sole ProprietorYes
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1649114935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
915 MARGARET PL, Shreveport, LA 71101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian Elizabeth Mire Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Vivian Mire's NPI number?

The NPI number for Vivian Mire is 1649114935. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Vivian Mire located?

Vivian Mire practices at 915 Margaret Pl, Shreveport, LA 71101. The listed phone number is (318) 675-5379.

What is Vivian Mire's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vivian Mire enrolled in Medicare?

Yes. Vivian Mire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivian Mire was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.