Janice Anderson, CNA

Primary specialty

ContractorTaxonomy code 171W00000X

License

86-3845506 Issued in LA

Practice address

29547 Hwy 11
Hwy 23 4TH Floor Suite C
Port Sulphur, LA 70083-7008

Phone

(504) 417-4329

NPI assigned

Jul 23, 2021

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pure Heart Provider & Sitter Services, LLC

  • Home Health Aide
  • Port Sulphur, LA
  • NPI 1265005458
  NPD Authorized official

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1992378186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29547 HIGHWAY 11",
            "city": "PORT SULPHUR",
            "state": "LA",
            "postal_code": "700833039",
            "telephone_number": "504-417-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29547 HWY 11",
            "address_2": "HWY 23 4TH FLOOR SUITE C",
            "city": "PORT SULPHUR",
            "state": "LA",
            "postal_code": "700837008",
            "telephone_number": "504-417-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "LA",
            "license": "86-3845506",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "LA",
            "license": "86-3845506",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "LA",
            "license": "86-3845506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA",
            "identifier": "11386651",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abba Personal Healthcare LLC
• Abba Personal Healthcare LLC
• Abba Personal Healthcare LLC
• Alexis Catherine Billiot, MHP
• Delta Drugs of Port Sulphur LLC (Delta Drugs)
• Maria Noarnice Etienne, PMHNP
• Exceptional Dental
• Hospital Service District No. 1 of Plaquemines Parish (Plaquemines Medical Center)

• Contractor in Port Sulphur, LA
• Providers in Port Sulphur, LA by specialty
• Contractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.