NPIMap

Individual provider Active NPI

Kathleen Anthony, PA

  • Physician Assistant
  • Marksville, LA
National Provider Identifier
1386078095
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200657 Issued in LA
Practice address
5541 Highway 1
Marksville, LA 71351-2650
Phone
(318) 240-7240
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA.200657 LA Primary

Addresses

Primary practice location

5541 Highway 1
Marksville, LA 71351-2650

Mailing address

3432 Kisatchie Cir
Woodworth, LA 71485-3202
Phone (337) 288-5283

Other practice location 1

820 Jordan St Ste 201
Shreveport, LA 71101-4518
Phone (318) 221-0399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022000564 LA Practitioner - Physician Assistant 2860627148 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Oct 1, 2024 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Oct 1, 2024 Accepting new patients
Rheumatology and Osteoporosis Specialists, AMC CurrentSince May 11, 2025 Accepting new patients
Sharptime PT PastSince Nov 9, 2025 Accepting new patients

Locations

1610 Water St
Lecompte, LA 71346
Phone (318) 406-8010

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

820 Jordan St
Ste 201
Shreveport, LA 71101
Phone (318) 221-0399

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAJHBA
  • Direct secure messaging: kathleen.anthony.1@30808.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Avoyelles LLC 39 clinicians

Practice addresses (Care Compare)

1610 Water St
Avoyelles Hospital Physicians Practice
Lecompte, LA 71346-4734
Phone (318) 406-8010

5541 Hwy 1
Marksville, LA 71351-2650
Phone (318) 240-7240

Hospital & facility affiliations

  • Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1386078095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 KISATCHIE CIR",
            "city": "WOODWORTH",
            "state": "LA",
            "postal_code": "714853202",
            "telephone_number": "337-288-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Jordan St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014518",
            "country_code": "US",
            "telephone_number": "318-221-0399",
            "fax_number": "318-221-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "KATHLEEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.