Active NPI
Angel Chenevert Lagrone, OT
- Occupational Therapist
- Jarreau, LA
National Provider Identifier
1972913630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z12429
- Practice address
- 12362 Pecan Island Rd
Jarreau, LA 70749-3217 - Phone
- (225) 931-0204
- NPI assigned
- May 4, 2014
- Last updated
- May 4, 2014
- 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 | Z12429 | LA | Primary |
Addresses
Primary practice location
12362 Pecan Island Rd
Jarreau, LA 70749-3217
Mailing address
12362 Pecan Island Rd
Jarreau, LA 70749-3217
Phone (225) 931-0204
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z12429 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Therapy Services, LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Saint Francisville, LA
- NPI 1346702834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399161600000",
"number": "1972913630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12362 PECAN ISLAND RD",
"city": "JARREAU",
"state": "LA",
"postal_code": "707493217",
"telephone_number": "225-931-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12362 PECAN ISLAND RD",
"city": "JARREAU",
"state": "LA",
"postal_code": "707493217",
"telephone_number": "225-931-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGRONE",
"first_name": "ANGEL",
"middle_name": "CHENEVERT",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-04",
"last_updated": "2014-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z12429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jarreau, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.