Individual provider Active NPI

Anne Elise Koger

  • Clinical Medical Laboratory
  • Hammond, LA
National Provider Identifier
1356092308
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
19D2248421 Issued in LA
Practice address
1004 Delmar Blvd
Hammond, LA 70403-5304
Phone
(985) 687-8515
NPI assigned
Jan 11, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 19D2248421 LA Primary

Addresses

Primary practice location

1004 Delmar Blvd
Hammond, LA 70403-5304

Mailing address

1905 W Thomas St Ste D157
Hammond, LA 70401-2901
Phone (985) 687-8515

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL anne.koger@arkdhs.com Other

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
19D2248421LAMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Ark Diversified Healthcare Solutions Clinical Medical Laboratory CurrentSince Mar 1, 2022 Accepting new patients

Locations

1905 W Thomas St
Ste D157
Hammond, LA 70401

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1356092308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W THOMAS ST STE D157",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012901",
            "telephone_number": "985-687-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 DELMAR BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035304",
            "telephone_number": "985-687-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGER",
        "first_name": "ANNE",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "19D2248421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anne.koger@arkdhs.com",
            "affiliation": "N",
            "endpointDescription": "Micrsoft",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1004 Delmar Blvd",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704035304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.