Active NPI
Peng Zhou Anderson, FNP-C
- Family Nurse Practitioner
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10194
- Practice address
- 5620 Read Blvd
New Orleans, LA 70127-3106 - Phone
- (504) 592-6600
- NPI assigned
- May 22, 2017
- Last updated
- Mar 29, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP133194 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP10194 | LA | Primary |
Addresses
Primary practice location
5620 Read Blvd
New Orleans, LA 70127-3106
Mailing address
1101 Medical Center Blvd
Marrero, LA 70072-3147
Phone (504) 349-1297
Other practice location 1
404 E San Marcos St
Pearsall, TX 78061-3226
Phone (830) 334-3336
Other practice location 2
205 N Commerce St
Dilley, TX 78017-3500
Phone (830) 965-4466
Other practice location 3
408 N Giraud
Cotulla, TX 78014-3113
Phone (830) 879-2279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP133194 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grenada Physician Services, LLC | Current | Accepting new patients | |
| University Physicians, PLLC | Past | Accepting new patients |
Locations
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
Interoperability endpoints
- panderson148895@ummc.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Grenada, MS
- NPI 1932762721
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1609984574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1346777380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MEDICAL CENTER BLVD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723147",
"telephone_number": "504-349-1297",
"fax_number": "504-349-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 READ BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273106",
"telephone_number": "504-592-6600"
}
],
"practiceLocations": [
{
"address_1": "404 E San Marcos St",
"address_purpose": "LOCATION",
"city": "Pearsall",
"state": "TX",
"postal_code": "780613226",
"country_code": "US",
"telephone_number": "830-334-3336",
"fax_number": "830-334-5574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 N Commerce St",
"address_purpose": "LOCATION",
"city": "Dilley",
"state": "TX",
"postal_code": "780173500",
"country_code": "US",
"telephone_number": "830-965-4466",
"fax_number": "830-965-4467",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "408 N Giraud",
"address_purpose": "LOCATION",
"city": "Cotulla",
"state": "TX",
"postal_code": "780143113",
"country_code": "US",
"telephone_number": "830-879-2279",
"fax_number": "830-879-2235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "PENG",
"middle_name": "ZHOU",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP133194",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP10194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.