Individual provider Active NPI

Edith Lewis Anderson, R. N., B. S. N.

  • Registered Nurse
  • Belle Chasse, LA
National Provider Identifier
1003001835
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
094894 Issued in LA
Practice address
3708 Main St
Belle Chasse, LA 70037-3002
Phone
(504) 393-5624
Fax
(504) 393-5633
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 094894 LA Primary

Addresses

Primary practice location

3708 Main St
Belle Chasse, LA 70037-3002

Mailing address

3708 Main St
Belle Chasse, LA 70037-3002
Phone (504) 393-5624

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
094894LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dept of Health & Hospitals 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1003001835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 MAIN ST",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700373002",
            "telephone_number": "504-393-5624",
            "fax_number": "504-393-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 MAIN ST",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700373002",
            "telephone_number": "504-393-5624",
            "fax_number": "504-393-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EDITH",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "R. N., B. S. N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "094894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Chasse, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.