Shaniqua Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.136108-M-IV Issued in OH

Practice address

2644 Catalpa Dr
Dayton, OH 45406-2007

Phone

(937) 367-5193

NPI assigned

Jun 20, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225558364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 CATALPA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062007",
            "telephone_number": "937-367-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 CATALPA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062007",
            "telephone_number": "937-367-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHANIQUA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.136108-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Anderson
• Patricia A Anderson, PEER SPECIALIST
• Robyne Anderson
• Sandy M Anderson, APRN-BC
• Shaleika Anderson
• Tyra Anderson
• Whitney Anderson, PHARMD
• Mandy L Andrews
• Matthew Andrews
• Melisa D. Andrews, LPCC

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.