Individual provider Active NPI

Elizabeth Anderson, CTRS

  • Recreation Therapist
  • Slidell, LA
National Provider Identifier
1699850438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
26084 Issued in LA
Practice address
316 Howze Beach Rd
Unit B
Slidell, LA 70461-4684
Phone
(985) 639-8040
Fax
(866) 374-8776
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 26084 LA Primary

Addresses

Primary practice location

316 Howze Beach Rd
Unit B
Slidell, LA 70461-4684

Mailing address

316 Howze Beach Rd
Unit B
Slidell, LA 70461-4684
Phone (985) 639-8040

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

LicenseStateTypeSpecialty
26084LAMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699850438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HOWZE BEACH RD",
            "address_2": "UNIT B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614684",
            "telephone_number": "985-639-8040",
            "fax_number": "866-374-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HOWZE BEACH RD",
            "address_2": "UNIT B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614684",
            "telephone_number": "985-639-8040",
            "fax_number": "866-374-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELIZABETH",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "LA",
            "license": "26084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.