Lucindy Anderson-Brown

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RNP291825 Issued in AZ

Practice address

9015 W Union Hills Dr Ste 107
Peoria, AZ 85382-3106

Phone

(623) 313-2910

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

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

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Espoir Medical Group LLC

  • Health Service Clinic/Center
  • Peoria, AZ
  • NPI 1972323657
  Medicare reassignment NPD

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1609560010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 W UNION HILLS DR STE 107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823106",
            "telephone_number": "623-313-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 W UNION HILLS DR STE 107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823106",
            "telephone_number": "623-313-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-BROWN",
        "first_name": "LUCINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RNP291825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• An Elegant Smile Dentistry
• An Elegant Smile P.C. (An Elegant Smile Denistry)
• Kishlay Anand, M.D.
• Daniel C Anaya, LMT
• Devney Nicole Anaya, SLPA
• Beth Anderson, BSN, RN
• Darren Anderson, DMD
• Ethan Anderson, DPT
• Fordyce W Anderson, PT
• Kanesha Anderson

• Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.