Individual provider Active NPI

Anna Giannobile, L.O.T.R.

  • Occupational Therapist
  • Monroe, LA
National Provider Identifier
1942544424
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTT.200551 Issued in LA
Practice address
4105 Deborah Dr
Monroe, LA 71201-2117
Phone
(318) 512-2585
NPI assigned
Nov 21, 2012
Last updated
Dec 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 334810
Occupational Therapist 225X00000X OTT.200551 LA Primary

Addresses

Primary practice location

4105 Deborah Dr
Monroe, LA 71201-2117

Mailing address

4105 Deborah Dr
Monroe, LA 71201-2117

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

State licenses

LicenseStateTypeSpecialty
OTT.200551LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosper Therapy and Feeding Solutions Occupational Therapist CurrentSince May 7, 2023 Accepting new patients

Locations

1900 Auburn Ave
Monroe, LA 71201
Phone (318) 373-6324

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1942544424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 DEBORAH DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 DEBORAH DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012117",
            "telephone_number": "318-512-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOBILE",
        "first_name": "ANNA",
        "credential": "L.O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "334810",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.