Individual provider Active NPI

Misty Barfoot Graning, PTA

  • Community Health Worker
  • New Roads, LA
National Provider Identifier
1033575220
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
A9264 Issued in LA
Practice address
108 Pennsylvania St
New Roads, LA 70760-3654
Phone
(318) 729-2121
Fax
(318) 757-2310
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X A9264 LA Primary

Addresses

Primary practice location

108 Pennsylvania St
New Roads, LA 70760-3654

Mailing address

108 Pennsylvania St
New Roads, LA 70760-3654
Phone (318) 729-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A9264LAMDCommunity Health Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1033575220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PENNSYLVANIA ST",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707603654",
            "telephone_number": "318-729-2121",
            "fax_number": "318-757-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PENNSYLVANIA ST",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707603654",
            "telephone_number": "318-729-2121",
            "fax_number": "318-757-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANING",
        "first_name": "MISTY",
        "middle_name": "BARFOOT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "LA",
            "license": "A9264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Roads, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.