Active NPI
Susan Haefner Andries, LOTR
- Occupational Therapist
- Zachary, LA
National Provider Identifier
1962086405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.Z10673
- Practice address
- 3755 Church St
Zachary, LA 70791-3040 - Phone
- (225) 658-4969
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.Z10673 | LA | Primary |
Addresses
Primary practice location
3755 Church St
Zachary, LA 70791-3040
Mailing address
2156 N Woodchase CT
Baton Rouge, LA 70808-4016
Phone (225) 772-2156
Other practice location 1
10510 Joor Rd Ste 300
Baton Rouge, LA 70818-3925
Phone (225) 262-1919
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.Z10673 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1962086405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2156 N WOODCHASE CT",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084016",
"telephone_number": "225-772-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 CHURCH ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707913040",
"telephone_number": "225-658-4969"
}
],
"practiceLocations": [
{
"address_1": "10510 Joor Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708183925",
"country_code": "US",
"telephone_number": "225-262-1919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRIES",
"first_name": "SUSAN",
"middle_name": "HAEFNER",
"name_prefix": "Mrs.",
"credential": "LOTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.Z10673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.