Carol Jean Anacker

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

178-27 Issued in WI

Practice address

600 Highland Ave
Compliance Mail Cod3-2433
Madison, WI 53792-0001

Phone

(608) 662-0817

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952321929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 LANCASTER LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191424",
            "telephone_number": "608-278-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "COMPLIANCE MAIL COD3-2433",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-662-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANACKER",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "178-27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTA",
            "identifier": "178-27",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarek Munir Amro, DDS
• Darcey P Amundson, PA-C
• Ellen Marit Amundson, MS, CCC-SLP
• Pamela K Amundson, FNP-C
• Bryan Wonjun An, MD
• Petros Vassilios Anagnostopoulos, MD
• Carlos Anthony Anani
• Jose Pablo Anaya, M.D.
• Yohualli Balderas-Medina Anaya, M.D.
• Grace Anbouba, CGC

• Occupational Therapy Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.