Individual provider Active NPI

Laqueasha Yvette Anderson, LPN

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1619204484
Registry record updated Nov 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN-133153 Issued in OH
Practice address
1959 Guildhall Dr Apt G
Columbus, OH 43209-4401
Phone
(614) 378-2110
NPI assigned
Nov 15, 2009
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
PN-133153OHMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN-133153 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1959 Guildhall Dr Apt G
Columbus, OH 43209-4401

Mailing address

1959 Guildhall Dr Apt G
Columbus, OH 43209-4401
Phone (614) 378-2110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2009.

{
    "created_epoch": "1258243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258243200000",
    "number": "1619204484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 GUILDHALL DR APT G",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432094401",
            "telephone_number": "614-378-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 GUILDHALL DR APT G",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432094401",
            "telephone_number": "614-378-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LAQUEASHA",
        "middle_name": "YVETTE",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-15",
        "last_updated": "2009-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN-133153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2009; 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.