Individual provider Active NPI

Dana Denette Anderson, REGISTERED NURSE

  • Registered Nurse
  • Gretna, LA
National Provider Identifier
1669985206
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN136762 Issued in LA
Practice address
1101 Franklin Ave
Gretna, LA 70053-2312
Phone
(504) 333-5407
NPI assigned
Nov 6, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN136762 LA Primary

Addresses

Primary practice location

1101 Franklin Ave
Gretna, LA 70053-2312

Mailing address

2700 Whitney Ave Apt 568
Harvey, LA 70058-3364
Phone (504) 333-5407

Other practice location 1

2700 Whitney Ave Apt 568
Harvey, LA 70058-3364
Phone (504) 333-5407

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
RN136762LAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669985206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WHITNEY AVE APT 568",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583364",
            "telephone_number": "504-333-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FRANKLIN AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700532312",
            "telephone_number": "504-333-5407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Whitney Ave Apt 568",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "LA",
            "postal_code": "700583364",
            "country_code": "US",
            "telephone_number": "504-333-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANA",
        "middle_name": "DENETTE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN136762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.