Active NPI
Ada Iola Anderson, LPN
- Licensed Practical Nurse
- Annapolis, MD
National Provider Identifier
1457566820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP09365
- Practice address
- 1 Harry S Truman Pkwy
Suite 231, Ms 3103
Annapolis, MD 21401-7042 - Phone
- (410) 222-7108
- Fax
- (410) 222-7231
- NPI assigned
- May 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP09365 | MD | Primary |
Addresses
Primary practice location
1 Harry S Truman Pkwy
Suite 231, Ms 3103
Annapolis, MD 21401-7042
Mailing address
8654 Head Harbour
Pasadena, MD 21122-6509
Phone (410) 437-4688
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 |
|---|---|---|---|
| LP09365 | MD | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel County Department of Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Annapolis, MD
- NPI 1346466398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457566820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8654 HEAD HARBOUR",
"city": "PASADENA",
"state": "MD",
"postal_code": "211226509",
"telephone_number": "410-437-4688",
"fax_number": "410-222-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARRY S TRUMAN PKWY",
"address_2": "SUITE 231, MS 3103",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017042",
"telephone_number": "410-222-7108",
"fax_number": "410-222-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ADA",
"middle_name": "IOLA",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MD",
"license": "LP09365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.