Active NPI
Eileen Anderson, LPN
- Licensed Practical Nurse
- Seaford, NY
National Provider Identifier
1174974711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 308802-1
- Practice address
- 4043 Burke CT
Seaford, NY 11783-2260 - Phone
- (516) 581-6234
- NPI assigned
- Jun 24, 2016
- Last updated
- Jun 24, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 308802-1 | NY | Primary |
Addresses
Primary practice location
4043 Burke CT
Seaford, NY 11783-2260
Mailing address
4043 Burke CT
Seaford, NY 11783-2260
Phone (516) 581-6234
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 |
|---|---|---|---|
| 308802-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1174974711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4043 BURKE CT",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832260",
"telephone_number": "516-581-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4043 BURKE CT",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832260",
"telephone_number": "516-581-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "EILEEN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-24",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "308802-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, NY
- Maroof Ali, D.O.
- All-Star Physcial Therapy of Seaford P.C.
- Rebekah Alpert-Miller, NPP
- Jeannie Elizabeth Alvarado- Astaiza, D.D.S.
- Justine Rose Amato, MA
- Marie Elizabeth Anderson, OTR
- Maria Danielle Aniano, MS SPED
- Carol Lynn Antonette, R.N.
- Yvette Archevald-McCauley, M.S.ED
- Carina Arguelles, BCBA, LBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.