Delores Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

157791 Issued in NY

Practice address

449 39TH St
Brooklyn, NY 11232-2909

Phone

(718) 871-2400

Fax

(718) 871-2431

NPI assigned

Apr 29, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1588074512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322909",
            "telephone_number": "718-871-2400",
            "fax_number": "718-871-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322909",
            "telephone_number": "718-871-2400",
            "fax_number": "718-871-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DELORES",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "157791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrington Oneal Anderson, DDS
• Catherine Anderson
• Chana Anderson
• Cristina Anderson
• Dajia Anderson
• Drew Samantha Anderson, NBC-HWC
• Elizabeth Jade Anderson, MD
• Gordon Anderson, M.D.
• Gwendolen S. Anderson
• Heather Anderson, OTR

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.