Active NPI
Anitra Persaud
- Student in an Organized Health Care Education/Training Program
- Philadelphia, PA
National Provider Identifier
1861187866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3400 Spruce St
Philadelphia, PA 19104-4238 - Phone
- (516) 666-2967
- NPI assigned
- Apr 6, 2023
- Last updated
- Apr 6, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
258 S 44TH St
Philadelphia, PA 19104-2944
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1861187866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 S 44TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "516-666-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "ANITRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Sheryl Perry
- Tracy E Perry, MA, MT-BC
- April J Perrymore, PSY.D.
- Damion Mahendra Persad, MBBS
- Victoria Persampiere, DO
- Natasha Verama Persaud, M.D.
- Perseverance, Mitigation and Nurising Care Options Inc. (PM Nursing Care Options)
- Persevere Physical Therapy LLC
- Christian Persichetti
- Eileen Persichetti, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.