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KASI LIVELY
NPI 1699222190
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since September 01, 2016PECOS Enrolled
2600 GREENWOOD RD, SHREVEPORT, LA 71103(318) 212-8527 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Jul 7, 2021, Sep 1, 2016 (3 updates tracked since 2016).

About Kasi Lively NPPES

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

KASI LIVELY (NPI 1699222190) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1699222190
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKASI LIVELY
Location Address2600 GREENWOOD RDShreveport, LA 71103-3908
Mailing Address2751 Albert L Bicknell Dr Ste 3dShreveport, LA 71103-3941
Phone(318) 212-8527
Sole ProprietorNo
Enumeration DateSeptember 1, 2016
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1699222190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
2600 GREENWOOD RD, Shreveport, LA 71103
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Secondary Practice Location 1

Location 12751 Albert L Bicknell Dr Ste 3DShreveport, LA 71103-3941 · Phone (318) 212-6710 · Fax (318) 212-6705

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kasi Lively 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.

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.

CROSS LAKE EMERGENCY GROUP, LLC
Emergency Medicine
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
MAURICE HAWLEY M.D.
Anesthesiology
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (972) 664-6963
SANDRA JEANNINE WARD
Registered Nurse (Critical Care Medicine)
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
EDGAR DIAZ MD
Student in an Organized Health Care Education/Training Program
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
DAVID PAUL BAKER CRNA
Nurse Anesthetist, Certified Registered
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
DR. CRAIG FLOREA MD
Emergency Medicine
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4500
JOSE ALBA MD
Radiology (Diagnostic Radiology)
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4550
JADE MORGAN ARRANT
Physician Assistant
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000

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 Kasi Lively's NPI number?

The NPI number for Kasi Lively is 1699222190. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Kasi Lively located?

Kasi Lively practices at 2600 Greenwood Rd, Shreveport, LA 71103. The listed phone number is (318) 212-8527.

What is Kasi Lively's specialty?

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

Is Kasi Lively enrolled in Medicare?

Yes. Kasi Lively is registered in the Medicare PECOS enrollment system.

What insurance does Kasi Lively accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan list Kasi Lively 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 Kasi Lively was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.