Individual provider Active NPI

Nsenga Ribeiro-Anderson, APRN, FNP-BC, ANP-BC

  • Family Nurse Practitioner
  • Lithia, FL
National Provider Identifier
1336194430
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9464400 Issued in FL
Practice address
6422 Bridgecrest Dr
Lithia, FL 33547-4865
Phone
(314) 363-6205
NPI assigned
May 24, 2006
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN144693 MO
Family Nurse Practitioner 363LF0000X 9464400 FL Primary

Addresses

Primary practice location

6422 Bridgecrest Dr
Lithia, FL 33547-4865

Mailing address

6422 Bridgecrest Dr
Lithia, FL 33547-4865
Phone (314) 363-6205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN144693MOMDAdult Health Nurse Practitioner
9464400FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1336194430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 BRIDGECREST DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474865",
            "telephone_number": "314-363-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 BRIDGECREST DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474865",
            "telephone_number": "314-363-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO-ANDERSON",
        "first_name": "NSENGA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "RN144693",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9464400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

Verify at the official NPI Registry.