Brenda Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

098005064LPN Issued in OR

Practice address

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281

Phone

(541) 440-3532

NPI assigned

Oct 27, 2016

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

State licenses

Practice roles

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.

• Community Health Alliance

  • Community/Behavioral Health Agency
  • Sutherlin, OR
  • NPI 1396113122
  NPD (past)
• Community Health Alliance

  • Community/Behavioral Health Agency
  • Roseburg, OR
  • NPI 1871947986
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1669924403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW GARDEN VALLEY BLVD",
            "address_2": "SUITE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718700",
            "telephone_number": "541-440-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711281",
            "telephone_number": "541-440-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRENDA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "098005064LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faye E Ameredes, DO
• American Dental L.L.C
• Loretta J. Amitrano, FNP
• Jonas Amoah
• Niki Desanto Amsden, PH.D.
• Douglas Edward Anderson, MD
• Gretchen Anderson, LMT
• Harold F Anderson, M.D.
• Scott Charles Anderson, AU.D
• Steven Grant Anderson, AU.D.

• Licensed Practical Nurse in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.