Individual provider Active NPI

Anna Larocca, APRN

  • Pediatrics Physician
  • Conway, AR
National Provider Identifier
1396306213
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A005803 Issued in AR
Practice address
955 Carolyn LN
Conway, AR 72034-5015
Phone
(501) 327-2444
Fax
(501) 327-2443
NPI assigned
Jun 21, 2019
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A005803 AR Primary

Addresses

Primary practice location

955 Carolyn LN
Conway, AR 72034-5015

Mailing address

955 Carolyn LN
Conway, AR 72034-5015
Phone (501) 327-2444

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005803ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Pediatrics, PLLC Pediatrics CurrentSince Jul 17, 2021 Accepting new patients
Cornerstone Pediatrics, P.C. Past Accepting new patients

Locations

955 Carolyn Ln
Conway, AR 72034
Phone (501) 327-2444

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.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1396306213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CAROLYN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345015",
            "telephone_number": "501-327-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CAROLYN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345015",
            "telephone_number": "501-327-2444",
            "fax_number": "501-327-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "ANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "A005803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.