ONEAL DIRECT HEALTH
NPI 1720974470
Clinic/Center in Shreveport, LA

Active since June 17, 2025CLIA 19D2312519 · Waiver
818 MONTROSE DR STE B, SHREVEPORT, LA 71106(337) 302-5453(337) 302-5453 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oneal Direct Health NPPES

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

ONEAL DIRECT HEALTH (NPI 1720974470) is a healthcare organization registered as a clinic/center in Shreveport, Louisiana and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Jennifer O'neal, Owner, as its authorized official.

NPPES Registry Identity

NPI1720974470
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameONEAL DIRECT HEALTH
Location Address818 MONTROSE DR STE BShreveport, LA 71106-2012
Mailing Address8702 Glen Haven DrShreveport, LA 71106-6222 · (337) 302-5453 · Fax (318) 725-3505
Fax(337) 302-5453
Organization SubpartNo
Authorized OfficialJennifer O'nealOwner · (337) 302-5453
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
NPI 1720974470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
818 MONTROSE DR STE B, Shreveport, LA 71106

Other Identifiers 2

Other1275929929LA · State
Medicaid1275929929LA

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 19D2312519

O'neal Direct Health · Shreveport, LA
Active · expires Oct 13, 2026
CLIA Number19D2312519
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorJennifer C. Oneal
Laboratory Phone(337) 302-5453
Laboratory LocationO'neal Direct Health818 Montrose Dr, Suite B, Shreveport, LA 71106
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

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

Family Medicine
818 MONTROSE DR STE B
SHREVEPORT, LA 71106

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 Oneal Direct Health's NPI number?

The NPI number for Oneal Direct Health is 1720974470. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is Oneal Direct Health located?

Oneal Direct Health is located at 818 Montrose Dr Ste B, Shreveport, LA 71106. The listed phone number is (337) 302-5453.

What is Oneal Direct Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Oneal Direct Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2312519) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oneal Direct Health was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.