Active NPI
Ananda Cook, LVN/LPN
- Licensed Vocational Nurse
- Encinitas, CA
National Provider Identifier
1407441256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 253696
- Practice address
- 641 N Vulcan Ave Apt 105
Encinitas, CA 92024-2193 - Phone
- (951) 239-9346
- NPI assigned
- Mar 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN-19961-0 | HI | |
| Licensed Vocational Nurse | 164X00000X | 253696 | CA | Primary |
Addresses
Primary practice location
641 N Vulcan Ave Apt 105
Encinitas, CA 92024-2193
Mailing address
34691 Dalea Rd
Winchester, CA 92596-8862
Phone (951) 239-9346
Other names 1
- Tai CHI Ananda Canning
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN-19961-0 | HI | MD | Licensed Practical Nurse |
| 253696 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1407441256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34691 DALEA RD",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "925968862",
"telephone_number": "951-239-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 N VULCAN AVE APT 105",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242193",
"telephone_number": "951-239-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ANANDA",
"credential": "LVN/LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "HI",
"license": "LPN-19961-0",
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "253696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAI CHI",
"last_name": "CANNING",
"middle_name": "ANANDA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.