Active NPI
Annette L Albertson
- Registered Nurse
- Glen Carbon, IL
National Provider Identifier
1306463708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2000164499
- Practice address
- 539 Trails End
Glen Carbon, IL 62034-2725 - Phone
- (314) 517-4535
- NPI assigned
- Jul 1, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2000164499 | MO | Primary |
Addresses
Primary practice location
539 Trails End
Glen Carbon, IL 62034-2725
Mailing address
539 Trails End
Glen Carbon, IL 62034-2725
Phone (314) 517-4535
Other practice location 1
Kayenta Health Center
Hwy 160 M.P. 394.3
Kayenta, AZ 86033
Phone (929) 697-4000
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 |
|---|---|---|---|
| 2000164499 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1306463708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 TRAILS END",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620342725",
"telephone_number": "314-517-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 TRAILS END",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620342725",
"telephone_number": "314-517-4535"
}
],
"practiceLocations": [
{
"address_1": "Kayenta Health Center",
"address_2": "HWY 160 M.P. 394.3",
"address_purpose": "LOCATION",
"city": "Kayenta",
"state": "AZ",
"postal_code": "86033",
"country_code": "US",
"telephone_number": "929-697-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBERTSON",
"first_name": "ANNETTE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2000164499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.