Individual provider Active NPI

Laura Jeanne Anjola

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1487849048
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP17295 Issued in CA
Practice address
923 Dana Dr
Redding, CA 96003-4020
Phone
(530) 900-4000
Fax
(530) 900-4444
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP17295 CA Primary

Addresses

Primary practice location

923 Dana Dr
Redding, CA 96003-4020

Mailing address

923 Dana Dr
Redding, CA 96003-4020
Phone (530) 900-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628001036 CA Practitioner - Nurse Practitioner 6305027830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragon Chico Medical Group IncGroup PAC ID 2668807785, 10 clinicians

Practice addresses (Care Compare)

1700 Esplanade
Chico, CA 95926-3315
Phone (530) 691-5920

Hospital & facility affiliations

  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Trinity Hospital Hospital, Weaverville, CA, CCN 051315
  • Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17295CAMDPsychoanalyst
NP17295CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Chico Medical Group, Inc CurrentSince May 1, 2023 Accepting new patients

Locations

9139 W Thunderbird Rd
Ste 220
Peoria, AZ 85381

1700 Esplanade
Chico, CA 95926
Phone (530) 691-5920

923 Dana Dr
Redding, CA 96003
Phone (530) 900-4000

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1487849048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 DANA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034020",
            "telephone_number": "530-900-4000",
            "fax_number": "530-900-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 DANA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034020",
            "telephone_number": "530-900-4000",
            "fax_number": "530-900-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANJOLA",
        "first_name": "LAURA",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP17295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.