Keisha Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2888701 Issued in NY

Practice address

2141 Bruckner Blvd Apt 2F
Bronx, NY 10472-6539

Phone

(347) 125-2287

Fax

(212) 371-0532

NPI assigned

Jul 14, 2014

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1336556240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 BRUCKNER BLVD APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104726539",
            "telephone_number": "347-125-2287",
            "fax_number": "212-371-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 BRUCKNER BLVD APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104726539",
            "telephone_number": "347-125-2287",
            "fax_number": "212-371-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KEISHA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2888701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ernestine Anderson, MOT, OTR/L
• Julianne Anderson
• Kari Lewis Anderson, M.D.
• Katherine Marie Anderson, LMSW
• Kathy L Anderson, R.D. MS, CDN, MBA
• Kesha-Gaye Anderson, M.D.
• Kimbaley Anderson
• Kimberly A Anderson
• Matthew R Anderson, MD
• Michele Anderson

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.