Active NPI
David Allen Anderson, RN
- Nursing Care Agency
- Indianapolis, IN
National Provider Identifier
1023645447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 28092581A
- Practice address
- 7746 Orchard Village Dr
Indianapolis, IN 46217-2907 - Phone
- (317) 985-8265
- NPI assigned
- Mar 25, 2020
- Last updated
- Mar 25, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 28092581A | IN | Primary |
Addresses
Primary practice location
7746 Orchard Village Dr
Indianapolis, IN 46217-2907
Mailing address
7746 Orchard Village Dr
Indianapolis, IN 46217-2907
Phone (317) 985-8265
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Taichifusion01.com | Direct | |
| CONNECT URL | Taichifusion01@gmail.com | Direct | |
| CONNECT URL | Taichifusion01@gmail.com |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28092581A | IN | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1023645447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7746 ORCHARD VILLAGE DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462172907",
"telephone_number": "317-985-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7746 ORCHARD VILLAGE DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462172907",
"telephone_number": "317-985-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DAVID",
"middle_name": "ALLEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "IN",
"license": "28092581A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Taichifusion01.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7746 Orchard Village Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462172907",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Taichifusion01@gmail.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7746 Orchard Village Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462172907",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Taichifusion01@gmail.com",
"affiliation": "N",
"endpointDescription": "Business email",
"address_1": "7746 Orchard Village Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462172907",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.