Mary Nell Anderson, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

017212 Issued in LA

Practice address

7777 Hennessy Blvd
Ste 706
Baton Rouge, LA 70808-4300

Phone

(225) 769-5554

Fax

(225) 757-1959

NPI assigned

Jul 7, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary-nell.anderson.1@18086.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Hospital Service District of West Feliciana Parish Louisiana

  • Critical Access Hospital
  • Saint Francisville, LA
  • NPI 1164497533
  Medicare reassignment NPD
• Rehabilitation Physicians Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Baton Rouge, LA
  • NPI 1275589889
  NPD (past)
• Southern Pain & Anesthesia Consultants LLC

  dba Southern Pain & Neurological

  • Interventional Pain Medicine Physician
  • Metairie, LA
  • NPI 1427876861
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1801828116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53904",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053904",
            "telephone_number": "225-769-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 706",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-769-5554",
            "fax_number": "225-757-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "NELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "017212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1375896",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kawana Anderson
• Kevin J Anderson, MD
• Lisa Anderson, RNFA
• Makayla Alisha Anderson
• Marquiea Anderson, LPC
• Monica Anderson
• Nala Anderson
• Samuel Neal Anderson, CIT
• Scott W Anderson, MD
• Shakita Renee Anderson, FNP

• Physical Medicine & Rehabilitation Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Medicine & Rehabilitation Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.