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NPISignal

Individual Healthcare Provider

Krystal Ukaegbu, RN, MSN

NPI Record: ActiveCommunity Based Residential Treatment Facility, Mental Illness
NPI1710787197
Shreveport, Louisiana

Provider's NPPES record last updated: July 9, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1710787197
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Practice Location
Shreveport, Louisiana
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 3:26 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Community Based Residential Treatment Facility, Mental Illness

    Residential Treatment Facilities

    Primary

    A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

    Taxonomy code 320800000X
  • Registered Nurse

    Psychiatric/Mental Health

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WP0808X
  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

    Residential Treatment Facilities

    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

    Taxonomy code 320900000X

Provider-Reported License Information

Registered Nurse (Louisiana)
RN131251
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

7000 Fern Ave Apt 135

Shreveport, Louisiana 71105-4914

Phone: (318) 658-8303

Record Information

Enumeration Date
March 15, 2025
Provider's NPPES Record Last Updated
July 9, 2025
Certification Date
July 9, 2025
NPISignal NPPES Dataset
August 2026

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