Tamicha Louette Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

121146 Issued in OH

Practice address

904 Dingledine Ave
Lima, OH 45804-1712

Phone

(419) 371-4895

NPI assigned

Feb 24, 2016

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

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": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1013377787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 DINGLEDINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041712",
            "telephone_number": "419-371-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 DINGLEDINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041712",
            "telephone_number": "419-371-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TAMICHA",
        "middle_name": "LOUETTE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "121146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devaki Anatha Ganesh
• Casie A Anderson, APRN
• Hillary Anderson
• Kyle Anderson
• Mary Anderson, PA-C
• Matthew Andrien, MD
• Anesthesia Associates of Lima Inc
• Joseph M. Anigbogu, M.D.
• Paul Anike, DO
• Andrea Ankney, LSW

• Licensed Practical Nurse in Lima, OH
• Providers in Lima, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.