Individual provider Active NPI

Anne Marie Langlois

  • Physician Assistant
  • Sioux City, IA
National Provider Identifier
1245539733
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002151 Issued in IA
Practice address
5885 Sunnybrook Dr
Sioux City, IA 51106-4203
Phone
(712) 266-2760
Fax
(712) 266-2719
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002151 IA
Physician Assistant 363A00000X 002151 IA Primary

Addresses

Primary practice location

5885 Sunnybrook Dr
Sioux City, IA 51106-4203

Mailing address

5885 Sunnybrook Dr
Sioux City, IA 51106-4203
Phone (712) 266-2760

Other names 1

  • Miss Anne Marie Nassiff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115001713 FL Practitioner - Physician Assistant 6305017484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002151IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Health Resources Medical Past Accepting new patients
Affordable Medical Care LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anne.langlois@223.emedpractice.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1245539733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2760",
            "fax_number": "712-266-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2760",
            "fax_number": "712-266-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLOIS",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002151",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "NASSIFF",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PA -C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.