Individual provider Active NPI

Anita Fredette Stewart-Wells, LPN

  • Licensed Practical Nurse
  • Ellicott City, MD
National Provider Identifier
1316130131
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP26506 Issued in MD
Practice address
3300 N Ridge Rd
Suite 175
Ellicott City, MD 21043-3383
Phone
(410) 750-3474
NPI assigned
Aug 24, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP26506 MD Primary

Addresses

Primary practice location

3300 N Ridge Rd
Suite 175
Ellicott City, MD 21043-3383

Mailing address

11070 Citrus PL
Waldorf, MD 20603-5954
Phone (301) 523-7575

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
LP26506MDMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1316130131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 CITRUS PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035954",
            "telephone_number": "301-523-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N RIDGE RD",
            "address_2": "SUITE 175",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433383",
            "telephone_number": "410-750-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-WELLS",
        "first_name": "ANITA",
        "middle_name": "FREDETTE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP26506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.