Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Callie Ann Hathorn, FNP-BC, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1750113312

Callie Ann Hathorn, FNP-BC, ACNPC-AG is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2024, 2 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2551 Greenwood Rd Ste 140
Shreveport, LA 71103-3984
Phone: (318) 212-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 236634 (LA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 236634 (LA)

Record details

NPI number1750113312
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , ACNPC-AG
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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