Alexis Jymeisha Anderson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

30004066 Issued in LA

Practice address

4201 Spurgeon Dr
Monroe, LA 71203-4521

Phone

(318) 582-3236

NPI assigned

Mar 30, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anderson Family Home Care

  • Attendant Care Provider
  • Monroe, LA
  • NPI 1821934522

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1407796402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 WILDFLOWER ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712035567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SPURGEON DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034521",
            "telephone_number": "318-582-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEXIS",
        "middle_name": "JYMEISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "30004066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• An Amazing Place Medical Equipment & Supplies LLC
• Kerry Lynn Anders, MD
• Anderson Family Home Care
• Brooke Anderson-Passon, NP
• Abigail Anderson
• Danier Deselle Anderson, D.P.M.
• Estella Anderson
• Faith Anderson
• Kristin Sills Anderson, NP
• Lameisha Anderson

• All providers in Monroe, LA
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.