Active NPI
Erika Lynn Anderson, RN
- Registered Nurse
- Kewaskum, WI
National Provider Identifier
1619787926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 237562
- Practice address
- W177 County Road DD
Kewaskum, WI 53040-1124 - Phone
- (815) 757-7373
- NPI assigned
- Jan 9, 2025
- Last updated
- Jan 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 577279 | IL | |
| Registered Nurse | 163W00000X | 237562 | WI | Primary |
Addresses
Primary practice location
W177 County Road DD
Kewaskum, WI 53040-1124
Mailing address
W177 County Road DD
Kewaskum, Wi, 53040
Kewaskum (Washington County), Wi 53040, WI 53040
Phone (815) 757-7373
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 577279 | IL | MD | Registered Nurse |
| 237562 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1619787926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W177 COUNTY ROAD DD",
"address_2": "KEWASKUM, WI, 53040",
"city": "KEWASKUM (WASHINGTON COUNTY), WI 53040",
"state": "WI",
"postal_code": "53040",
"telephone_number": "815-757-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W177 COUNTY ROAD DD",
"city": "KEWASKUM",
"state": "WI",
"postal_code": "530401124",
"telephone_number": "815-757-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ERIKA",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "577279",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "237562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kewaskum, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.