Anna Kathryn Michell, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

394361 Issued in MS

Practice address

6858 Swinnea Rd BLDG 4
Southaven, MS 38671-9493

Phone

(662) 772-5937

NPI assigned

Jan 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033626205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 SWINNEA RD BLDG 4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719493",
            "telephone_number": "662-772-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 SWINNEA RD BLDG 4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719493",
            "telephone_number": "662-772-5937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6858 Swinnea Rd",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719493",
            "country_code": "US",
            "telephone_number": "662-772-5937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHELL",
        "first_name": "ANNA",
        "middle_name": "KATHRYN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "394361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Meyer, MD
• Timothy J Micek, M.D.
• Michael E Foster MD PC
• Michael E Steuer MD PC
• Micheal G Cook OD PC
• Mid South Otolaryngology Associates P.C.
• Mid-Delta Hospice North Inc
• Mid-South Anesthesia Consultants, PLLC
• Mid-South Imaging Center LLC
• Mid-South Orthopedic Hospitalists LLC

• Occupational Therapy Assistant in Southaven, MS
• Providers in Southaven, MS by specialty
• Occupational Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.