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WK CHILDRENS HEALTH SPECIALISTS
NPI 1689221020
Pediatrics - Pediatric Nephrology in Shreveport, LA

Active since August 21, 2019CLIA 19D2222494 · Waiver
2032 ELIZABETH AVE, SHREVEPORT, LA 71104(318) 698-0035(318) 698-0078 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, Aug 21, 2019 (2 updates tracked since 2019).

About Wk Childrens Health Specialists NPPES

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

WK CHILDRENS HEALTH SPECIALISTS (NPI 1689221020) is a healthcare organization registered as a pediatric nephrology in Shreveport, Louisiana and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Mary Jane Ward, Senior Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1689221020
Entity TypeOrganization
Primary Taxonomy2080P0210X
Legal Business NameWK CHILDRENS HEALTH SPECIALISTS
Location Address2032 ELIZABETH AVEShreveport, LA 71104-2123
Mailing Address2032 Elizabeth AveShreveport, LA 71104-2123 · (318) 698-0035 · Fax (318) 698-0078
Phone(318) 698-0035
Fax(318) 698-0078
Organization SubpartNo
Authorized OfficialMary Jane WardSenior Vp Finance · (318) 212-8951
Enumeration DateAugust 21, 2019
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1689221020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X
2032 ELIZABETH AVE, Shreveport, LA 71104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Waiver 19D2222494

Wk Children's Health Specialists · Shreveport, LA
Active · expires Apr 28, 2027
CLIA Number19D2222494
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorJoseph A. Bocchini
Laboratory Phone(318) 698-0035
Laboratory LocationWk Children's Health Specialists2032 Elizabeth Avenue, Shreveport, LA 71104
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

HEALTH HEROES, INC.
General Practice
2032 ELIZABETH AVE
SHREVEPORT, LA 71104
Caddo Parish (205) 609-0268
MAJED ALDIN JEROUDI M.D.
Pediatrics (Pediatric Hematology-Oncology)
2032 ELIZABETH AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 698-0035
MARY CATHERINE ARANDA M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
2032 ELIZABETH AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 698-0035
JOSEPH ANTHONY BOCCHINI JR. M.D.
Pediatrics (Pediatric Infectious Diseases)
2032 ELIZABETH AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 698-0035
DR. SASI KIRAN PENUKONDA MD
Pediatrics (Pediatric Endocrinology)
2032 ELIZABETH AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 698-0035

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 Childrens Health Specialists's NPI number?

The NPI number for Wk Childrens Health Specialists is 1689221020. It was assigned to this organization in the NPPES registry on August 21, 2019.

Where is Wk Childrens Health Specialists located?

Wk Childrens Health Specialists is located at 2032 Elizabeth Ave, Shreveport, LA 71104. The listed phone number is (318) 698-0035.

What is Wk Childrens Health Specialists's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Does Wk Childrens Health Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2222494) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Childrens Health Specialists 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 Childrens Health Specialists 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 Childrens Health Specialists was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.