SHREVEPORT VA MOBILE CLINIC
NPI 1679352942
Clinic/Center - VA in Shreveport, LA

NPI Status: Active since September 26, 2023

Contact Information

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101
Phone: (615) 355-3451

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  • Organization
  • Clinic/Center
  • VA

About SHREVEPORT VA MOBILE CLINIC

This page provides the complete NPI Profile along with additional information for Shreveport Va Mobile Clinic, a provider established in Shreveport, Louisiana operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1679352942 assigned on September 2023. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Shreveport Va Mobile Clinic. The authorized official of this NPI record is Erin Denise Potter (Npi Team Lead)

NPI
1679352942
Provider Legal Name
SHREVEPORT VAMC
Other Organization Name
SHREVEPORT VA MOBILE CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
510 E STONER AVE SHREVEPORT, LA 71101
Location Phone
(615) 355-3451
Mailing Address
PO BOX 94538 CLEVELAND, OH 44101
Mailing Phone
(615) 355-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2023
Last Update Date
09-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIN DENISE POTTER

Authorized Official Title
NPI TEAM LEAD
Authorized Official Phone
(202) 382-2579

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679352942
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2614965498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 6 + 5 + 4 + 9 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1679352942 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

PHILIP ASSAAD HADDAD MD

Internal Medicine

(Hematology & Oncology)

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 424-6064

MR. ROBERT KAUFMAN MCATEE JR. R.D., LDN

Dietitian, Registered

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

LAURA ANN IVY LDN RD

Dietitian, Registered

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

MRS. VICKI M BLACKWELL MS,LDN,RD

Dietitian, Registered

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

MRS. JAYNE BEAUREGARD MACKEY LDN, RD

Dietitian, Registered

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 424-6106

DOROTHY P PHELPS

Physical Therapy Assistant

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

LINDA HOOD RESENDEZ LOTR

Occupational Therapist

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

MR. RONALD EUGENE GROSSI KT/CEP

Kinesiotherapist

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 424-6053

MS. SONYA RENEE TEMPLE LCOTA

Occupational Therapy Assistant

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

LISA D. SELMER PT, MPT, CWS

Physical Therapist

510 E STONER AVE
PM&RS (117)
SHREVEPORT, LA
ZIP 71101

(318) 424-6014

CHERYL LYNN LEWIS

Physical Therapy Assistant

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 424-6014

MRS. GAIL MARITA PEARCE P.T.

Physical Therapist

510 E STONER AVE
PM&RS (117)
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

JOSHUA O YARBROUGH RKT

Kinesiotherapist

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

ESTHER YVONNE OSBORNE LCSW

Social Worker

(Clinical)

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 424-6106

MRS. RAMONA LYNNE RYAN PT

Physical Therapist

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

PROF. CULPEPPER HEWITT MCCULLER JR. MD

Internal Medicine

(Pulmonary Disease)

510 E STONER AVE
OVERTON BROOKS VA MEDICAL CENTER
SHREVEPORT, LA
ZIP 71101

(318) 424-6042

DR. SURENDER K ARORA MD

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

510 E STONER AVE
111 (MEDICAL SERVICE/ ENDOCRINOLOGY)
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

DR. CARROLL BUCK ATKINS JR. DMD

Pharmacist

510 E STONER AVE
# 160
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

DR. ERNEST LAVON NIX JR. D.D.S.

Dentist

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 221-8411

MANORANJAN BODDAPATI M.D.

Internal Medicine

(Hematology & Oncology)

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101

(318) 424-6064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679352942, enumerated as an "organization" on September 26, 2023.

The provider is located at 510 E STONER AVE SHREVEPORT, LA 71101 and the phone number is (615) 355-3451.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.