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

LicenseStateTypeSpecialty
345874NYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 29, 2020.

{
    "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

All providers in Lowville, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.