Barbara Ellen Anderson, FNPC
Individual provider Active NPI Family Nurse Practitioner · Lowville, NY
NPI 1366063471 · NPPES record last updated Apr 29, 2020
Key facts
- NPI
- 1366063471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 345874 (NY)
- Practice address
- 7785 N State St
Lowville, NY 13367-1229 - Phone
- (315) 376-5200
- NPI assigned
- Apr 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345874 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 345874 | NY | Yes |
Addresses
Primary practice location
7785 N State St
Lowville, NY 13367-1229
Mailing address
6295 Crow Creek Rd
Bettendorf, IA 52722-6516
Phone (563) 362-8962
NPI Registry JSON
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1366063471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6295 CROW CREEK RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527226516",
"telephone_number": "563-362-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7785 N STATE ST",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "133671229",
"telephone_number": "315-376-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BARBARA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "FNPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-29",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "345874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowville, NY
- Georges Akl
- Ibrahim Al-Bassiony
- Teresa Allen
- Stacy L Alvord
- Always Active Assessments
- Nathele J Anderson
- Ammar Arnautovic
- Chelsea Marie Ashcroft
- Amber R Astafan
- Sabrina N Bain
All providers in Lowville, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.