University Health Shreveport LLC
NPI 1619443611ActiveOrganization· Nurse Practitioner· Shreveport, LA
Nurse Practitioner in Shreveport, Louisiana, registered in NPPES in October 2018. The authorized official on file is Vernon Moore, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619443611 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2018 |
| Last updated in NPPES | Dec 10, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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