Anna Puckett, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

304725 Issued in LA

Practice address

8730 Youree Dr Ste B
Shreveport, LA 71115-2518

Phone

(318) 227-9002

NPI assigned

May 16, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McMillian Counseling Services

  • Mental Health Counselor
  • Shreveport, LA
  • NPI 1508302886
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1922598853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 YOUREE DR STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152518",
            "telephone_number": "318-227-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 YOUREE DR STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152518",
            "telephone_number": "318-227-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "304725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Edwin Pryor
• Psychiatric Nurse Practitioners
• Psychology Associates of N.W. Louisiana, L.L.C.
• Kenisha Puckett-Threats
• Andrew James Puckett, MD
• Jessie Puckett
• Shiru Pudasaini
• Andrea Markeisha Pugh, MS, LPC
• Chelsie Pugh
• Jamie Pugh, MA, CCC-SLP

• Occupational Therapy Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Occupational Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.