Individual provider Active NPI

Lani Anderson, NP

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1124853577
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037454 Issued in OH
Practice address
807 Southwestern Run
Youngstown, OH 44514-3688
Phone
(330) 729-0059
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0037454 OH Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN.428612 OH

Addresses

Primary practice location

807 Southwestern Run
Youngstown, OH 44514-3688

Mailing address

1340 Belmont Ave Ste 2300
Youngstown, OH 44504-1129
Phone (330) 746-1488

Other practice location 1

1340 Belmont Ave Ste 2300
Youngstown, OH 44504-1129
Phone (330) 746-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224003108 OH Practitioner - Nurse Practitioner 7012498413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kidney Group IncGroup PAC ID 0941291231, 21 clinicians

Practice addresses (Care Compare)

1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1129
Phone (330) 746-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037454OHMDFamily Nurse Practitioner
RN.428612OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Kidney Group, Inc Multi-Specialty CurrentSince Jan 26, 2026 Accepting new patients
Dialysis Access Center, LLC PastSince Jan 26, 2026 Accepting new patients

Locations

311 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 393-3376

807 Southwestern Run
Youngstown, OH 44514
Phone (330) 729-0059

1340 Belmont Ave
Ste 2300
Youngstown, OH 44504

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1124853577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE STE 2300",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041129",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SOUTHWESTERN RUN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-729-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Belmont Ave Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041129",
            "country_code": "US",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LANI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037454",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.428612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.