Active NPI
Anna Rose Culbert, MS, OTR/L
- Occupational Therapist
- Boulder, CO
National Provider Identifier
1841700804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 4770 Baseline Rd Ste 360
Boulder, CO 80303-2676 - Phone
- (515) 422-4445
- NPI assigned
- Oct 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 088776 | IA | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
4770 Baseline Rd Ste 360
Boulder, CO 80303-2676
Mailing address
855 W Dillon Rd Apt F305
Louisville, CO 80027-3218
Phone (515) 422-4445
Other practice location 1
5406 Merle Hay Rd
Johnston, IA 50131-1209
Phone (515) 727-8750
Other names 1
- Anna Rose Lourens
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088776 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1841700804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 W DILLON RD APT F305",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800273218",
"telephone_number": "515-422-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 BASELINE RD STE 360",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032676",
"telephone_number": "515-422-4445"
}
],
"practiceLocations": [
{
"address_1": "5406 Merle Hay Rd",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "IA",
"postal_code": "501311209",
"country_code": "US",
"telephone_number": "515-727-8750",
"fax_number": "515-727-8757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULBERT",
"first_name": "ANNA",
"middle_name": "ROSE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "088776",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "LOURENS",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.