Active NPI
Cameron Anderson
- Home Health Agency
- Lincoln, NE
National Provider Identifier
1124837653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 163WH0200X
- Practice address
- 1832 Hartley St
Lincoln, NE 68521-1731 - Phone
- (402) 992-6839
- NPI assigned
- Dec 30, 2024
- Last updated
- Dec 30, 2024
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 163WH0200X | NE | Primary |
Addresses
Primary practice location
1832 Hartley St
Lincoln, NE 68521-1731
Mailing address
1832 Hartley St
Lincoln, NE 68521-1731
Phone (402) 992-6839
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 |
|---|---|---|---|
| 163WH0200X | NE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1124837653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 HARTLEY ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211731",
"telephone_number": "402-992-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1832 HARTLEY ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211731",
"telephone_number": "402-992-6839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CAMERON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NE",
"license": "163WH0200X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.