Active NPI
Lora N Anthony
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1487097630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3510 Linwood Ave
Shreveport, LA 71103 - Phone
- (318) 636-4194
- Fax
- (318) 636-4196
- NPI assigned
- Apr 8, 2013
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3373 | LA | MD | General Practice Dentistry |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 3373 | LA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3510 Linwood Ave
Shreveport, LA 71103
Mailing address
265 Highland Dr
Many, LA 71449-3717
Phone (318) 256-4119
Other practice location 1
265 Highland Dr
Many, LA 71449-3717
Phone (318) 256-4119
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710601 | Medicaid | LA | |
| 171M00000X | Medicaid | LA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2018.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1487097630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 HIGHLAND DR",
"city": "MANY",
"state": "LA",
"postal_code": "714493717",
"telephone_number": "318-256-4119",
"fax_number": "318-256-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 LINWOOD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71103",
"telephone_number": "318-636-4194",
"fax_number": "318-636-4196"
}
],
"practiceLocations": [
{
"address_1": "265 Highland Dr",
"address_purpose": "LOCATION",
"city": "Many",
"state": "LA",
"postal_code": "714493717",
"country_code": "US",
"telephone_number": "318-256-4119",
"fax_number": "318-256-4171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTHONY",
"first_name": "LORA",
"middle_name": "N",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": "3373",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710601",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171M00000X",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.