Nicole Monique Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

121290 Issued in OH

Practice address

10921 Grantwood Ave
Cleveland, OH 44108-3626

Phone

(216) 527-8155

NPI assigned

Aug 19, 2010

Last updated

Aug 19, 2010By 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

Other identifiers 1

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": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1356657068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 GRANTWOOD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083626",
            "telephone_number": "216-527-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 GRANTWOOD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083626",
            "telephone_number": "216-527-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICOLE",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "121290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "121290",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Helen Anderson, P.T.
• Megan Jo Anderson, NP-C
• Mekita Anderson, LPN
• Michael Anderson, MD
• Michael E Anderson, MD
• Olivia B. Anderson
• Peter M. Anderson, M.D., PHD
• Rashell Anderson
• Roberta L Anderson, CNP
• Sabrina Anderson

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, 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 Aug 19, 2010; 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.