Active NPI
Andrea Marie Lanning, BSN, RN
- Registered Nurse
- Baker City, OR
National Provider Identifier
1124669288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201908006RN
- Practice address
- 3425 13TH St
Baker City, OR 97814-1340 - Phone
- (541) 523-7400
- Fax
- (541) 523-4927
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 201908006RN | OR | |
| Registered Nurse | 163W00000X | 201908006RN | OR | Primary |
Addresses
Primary practice location
3425 13TH St
Baker City, OR 97814-1340
Mailing address
3425 13TH St
Baker City, OR 97814-1340
Phone (541) 523-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B187554 | Other | OR | ODL |
Other names 1
- Andrea Marie Vukmirovich
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 192.168.1.109 | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201908006RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions Northwest, Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Baker City, OR
- NPI 1235124462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1124669288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 13TH ST",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141340",
"telephone_number": "541-523-7400",
"fax_number": "541-523-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 13TH ST",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141340",
"telephone_number": "541-523-7400",
"fax_number": "541-523-4927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANNING",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "BSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "201908006RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201908006RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODL",
"identifier": "B187554",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "192.168.1.109",
"affiliation": "N",
"endpointDescription": "Reaktek 8821AE wireless LAN 802.11ac PCI-E NIC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "60847 Love Rd",
"city": "Cove",
"state": "OR",
"country_code": "US",
"postal_code": "978248210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "VUKMIROVICH",
"middle_name": "MARIE",
"credential": "BSN,RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.