Active NPI
Andrea Elaine Lott
- Professional Counselor
- Visalia, CA
National Provider Identifier
1518353028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 6500 S Mooney Blvd
Suit B
Visalia, CA 93277-9535 - Phone
- (559) 685-1200
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
6500 S Mooney Blvd
Suit B
Visalia, CA 93277-9535
Mailing address
276 Cantebury Dr
Lemoore, CA 93245-4338
Phone (559) 816-2859
Other names 1
- Andrea Elaine Davis
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1518353028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 CANTEBURY DR",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932454338",
"telephone_number": "559-816-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 S MOONEY BLVD",
"address_2": "SUIT B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779535",
"telephone_number": "559-685-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "ANDREA",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "DAVIS",
"middle_name": "ELAINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.