Mark David Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

237656-1 Issued in NY

Practice address

227 Island Cottage Rd.
Rochester, NY 14612-3627

Phone

(585) 737-2607

NPI assigned

Feb 5, 2015

Sex

Male

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1356732887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 ISLAND COTTAGE RD.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123627",
            "telephone_number": "585-737-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 ISLAND COTTAGE RD.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123627",
            "telephone_number": "585-737-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "237656-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevonna Lynessa Anderson, LPN
• Kristopher W Anderson
• Laci Lynn Anderson
• Lorraine Anderson, NP
• Maria A Anderson, MS,CCC SLP
• Michelle Lorraine Anderson, NP
• Natara Anderson
• Pamela Jean Anderson, CERTIFIED DOULA
• Passion Anderson, LMSW
• Patrice Nicole Anderson, MA, MHC

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, 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 Feb 5, 2015; 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.