PROGRESSIVE CHILDRENS CLINIC LLC – NPI #1942573589
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PROGRESSIVE CHILDRENS CLINIC LLC is a provider located in SHREVEPORT, LA. NPPES has assigned the NPI number 1942573589 to PROGRESSIVE CHILDRENS CLINIC LLC on February 13, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 7 years ago on Jun 28, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROGRESSIVE CHILDRENS CLINIC LLC below.

NPI Profile for
PROGRESSIVE CHILDRENS CLINIC LLC

NPI Number
1942573589
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROGRESSIVE CHILDRENS CLINIC LLC
Primary location
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101
Phone: (318) 828-2210 Fax: (318) 828-2215
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA KAMPERT
OWNER
Phone: (318) 828-2210
Updated
Identifiers

Identifiers for PROGRESSIVE CHILDRENS CLINIC LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA2195719
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.