Active NPI
Nanette M Massey, O.T
- Low Vision Occupational Therapist
- Shreveport, LA
National Provider Identifier
1285657668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- Practice address
- 1501 Kings Hwy
Lsuhsc-School of Allied Health Professionals
Shreveport, LA 71103-4228 - Phone
- (318) 813-2960
- Fax
- (318) 813-2989
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Low Vision Occupational Therapist | 225XL0004X | Primary |
Addresses
Primary practice location
1501 Kings Hwy
Lsuhsc-School of Allied Health Professionals
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 813-2960
Other practice location 1
1714 Claiborne Ave
Shreveport, LA 71103-4119
Phone (318) 698-2300 ext. 106
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1320498 | Medicaid | LA | |
| 1174173 | Medicaid | LA | |
| 1884324 | Medicaid | LA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Association for the Blind, Inc. | Low Vision | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Low Vision Occupational Therapist
- Shreveport, LA
- NPI 1699839944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1285657668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-813-2960",
"fax_number": "318-813-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "LSUHSC-SCHOOL OF ALLIED HEALTH PROFESSIONALS",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-813-2960",
"fax_number": "318-813-2989"
}
],
"practiceLocations": [
{
"address_1": "1714 Claiborne Ave",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034119",
"country_code": "US",
"telephone_number": "318-698-2300 x106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSEY",
"first_name": "NANETTE",
"middle_name": "M",
"credential": "O.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1320498",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174173",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1884324",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.