Andrea Kayleen Witter, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 118840 Issued in OH

Practice address

11187 Hefner Rd
Kingston, OH 45644-9628

Phone

(740) 253-1651

NPI assigned

Oct 28, 2008

Last updated

Jun 23, 2016By the provider in NPPES

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1356594899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11187 HEFNER RD",
            "city": "KINGSTON",
            "state": "OH",
            "postal_code": "456449628",
            "telephone_number": "740-253-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11187 HEFNER RD",
            "city": "KINGSTON",
            "state": "OH",
            "postal_code": "456449628",
            "telephone_number": "740-253-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTER",
        "first_name": "ANDREA",
        "middle_name": "KAYLEEN",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 118840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Smith
• Lisa Michelle Taylor
• Jessica Thomas
• Township of Green Ttees (Green TWP Fire Department)
• Ladonna Wieland
• Tammie Young

• Licensed Practical Nurse in Kingston, OH
• Providers in Kingston, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.