Active NPI
Jeremy Lee Anderson
- Registered Nurse
- Rushville, OH
National Provider Identifier
1073278115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.479635
- Practice address
- 3291 Oak Leaf LN
Rushville, OH 43150-9659 - Phone
- (740) 503-8127
- NPI assigned
- Nov 3, 2021
- Last updated
- Nov 3, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.479635 | OH | Primary |
Addresses
Primary practice location
3291 Oak Leaf LN
Rushville, OH 43150-9659
Mailing address
3291 Oak Leaf LN
Rushville, OH 43150-9659
Phone (740) 503-8127
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.479635 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1073278115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 OAK LEAF LN",
"city": "RUSHVILLE",
"state": "OH",
"postal_code": "431509659",
"telephone_number": "740-503-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 OAK LEAF LN",
"city": "RUSHVILLE",
"state": "OH",
"postal_code": "431509659",
"telephone_number": "740-503-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JEREMY",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.479635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rushville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.