Cammy Sue Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN102502 Issued in OH

Practice address

9065 Knouff Rd.
Piqua, OH 45356-9305

Phone

(937) 381-5042

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1164615423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 KNOUFF RD.",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569305",
            "telephone_number": "937-381-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 KNOUFF RD.",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569305",
            "telephone_number": "937-381-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CAMMY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN102502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Suzanne Adams
• Natalie Adamson
• Maryjo Adkins
• Alan C.Gusching DDS Ms, Inc.
• Stacie Lynn Alcorn, RN, BSN
• Keena Su Anderson, RN
• David K Andrews, DDS
• Doug Kenneth Andrus
• Ap Anesthesia Corporation
• Lori L Armstrong

• All providers in Piqua, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.