Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Koveleskie

Individual provider Physician Assistant · NPI 1225417942

Shannon Koveleskie is a Physician Assistant in Shreveport, Louisiana. Qualified in 2014, 12 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
12
Licensed in
LA
In the registry since
2015
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Practice location Address checks out

1860 Fairfield Ave
Shreveport, LA 71101-4431
Phone: (318) 675-1313
Fax: (318) 675-1319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.200784 (LA)

Record details

NPI number1225417942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2015
Last updated in NPPESMay 27, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 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 locations4 on file with Medicare

Other providers in Shreveport