Individual provider Active NPI

Anna Lee Meissner, MS,OTRL

  • Pediatric Occupational Therapist
  • Fargo, ND
National Provider Identifier
1386853802
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1008 Issued in ND
Practice address
6681 56TH Ave S
Fargo, ND 58104-5655
Phone
(701) 361-9622
Fax
(701) 540-0191
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 103419 MN
Pediatric Occupational Therapist 225XP0200X 1008 ND Primary

Addresses

Primary practice location

6681 56TH Ave S
Fargo, ND 58104-5655

Mailing address

6681 56TH Ave S
Fargo, ND 58104-5655
Phone (701) 361-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1008NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Pediatric Therapy Current Accepting new patients
Connect Teletherapy PastSince Sep 27, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1386853802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045655",
            "telephone_number": "701-361-9622",
            "fax_number": "701-540-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045655",
            "telephone_number": "701-361-9622",
            "fax_number": "701-540-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISSNER",
        "first_name": "ANNA",
        "middle_name": "LEE",
        "credential": "MS,OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "103419",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ND",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.