Individual provider Active NPI

Anna Elise Navarro, PA-C

  • Medical Physician Assistant
  • Shreveport, LA
National Provider Identifier
1780290338
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
324409 Issued in LA
Practice address
2510 Bert Kouns Industrial Loop Ste 215
Shreveport, LA 71118-3119
Phone
(318) 212-5970
Fax
(318) 212-5975
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14372 TX
Medical Physician Assistant 363AM0700X 324409 LA Primary

Addresses

Primary practice location

2510 Bert Kouns Industrial Loop Ste 215
Shreveport, LA 71118-3119

Mailing address

2510 Bert Kouns Industrial Loop Ste 215
Shreveport, LA 71118-3119
Phone (318) 212-5970

Other practice location 1

1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810
Phone (318) 798-9400

Other names 1

  • Anna E Gould Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201009001966 LA Practitioner - Physician Assistant 4385064567 Reassigns benefits to 1 organization
I20211206001940 TX Practitioner - Physician Assistant 4385064567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14372TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ark-la-Tex Cardiology, Apmc CurrentSince Sep 1, 2020 Accepting new patients
WK Ark-la-Tex Neonatology PastSince Oct 6, 2024 Accepting new patients

Locations

1453 E Bert Kouns Industrial Loop
Ste 112
Shreveport, LA 71105
Phone (318) 798-9400

Interoperability endpoints

  • Direct secure messaging: anna.gould.p1@direct.acs.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1780290338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BERT KOUNS INDUSTRIAL LOOP STE 215",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183119",
            "telephone_number": "318-212-5970",
            "fax_number": "318-212-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BERT KOUNS INDUSTRIAL LOOP STE 215",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183119",
            "telephone_number": "318-212-5970",
            "fax_number": "318-212-5975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1453 E Bert Koun Loop Ste 112",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711056810",
            "country_code": "US",
            "telephone_number": "318-798-9400",
            "fax_number": "318-795-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "ANNA",
        "middle_name": "ELISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14372",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "324409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "GOULD",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.