Individual provider Active NPI

Anna Louise Noden

  • Specialist
  • Lynbrook, NY
National Provider Identifier
1255921904
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1436993201 Issued in NY
Practice address
28 Lawrence Ave Apt 2
Lynbrook, NY 11563-1843
Phone
(631) 759-6857
NPI assigned
Jan 26, 2021
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1436993201 NY Primary

Addresses

Primary practice location

28 Lawrence Ave Apt 2
Lynbrook, NY 11563-1843

Mailing address

28 Lawrence Ave Apt 2
Lynbrook, NY 11563-1843
Phone (631) 759-6857

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

LicenseStateTypeSpecialty
1436993201NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1255921904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LAWRENCE AVE APT 2",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631843",
            "telephone_number": "631-759-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LAWRENCE AVE APT 2",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631843",
            "telephone_number": "631-759-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODEN",
        "first_name": "ANNA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1436993201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.