Individual provider Active NPI

Anna L Laurance, D.C.

  • Chiropractor
  • Pinellas Park, FL
National Provider Identifier
1629024716
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOO7061 Issued in FL
Practice address
8695 66TH St
Pinellas Park, FL 33782-4527
Phone
(727) 547-8615
Fax
(727) 547-0918
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOO7061 FL Primary

Addresses

Primary practice location

8695 66TH St
Pinellas Park, FL 33782-4527

Mailing address

8695 66TH St
Pinellas Park, FL 33782-4527
Phone (727) 547-8615

Other identifiers 1

IdentifierTypeStateIssuer
381162000MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHOOO7061FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1629024716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 66TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824527",
            "telephone_number": "727-547-8615",
            "fax_number": "727-547-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 66TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824527",
            "telephone_number": "727-547-8615",
            "fax_number": "727-547-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURANCE",
        "first_name": "ANNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO7061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381162000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.