Individual provider Active NPI

Andrea R Dean, CRNP

  • Adult Health Nurse Practitioner
  • Newark, DE
National Provider Identifier
1699065466
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
LP-0000220 Issued in DE
Practice address
256 Chapman Rd Ste 106
Newark, DE 19702-5417
Phone
(302) 444-4366
Fax
(302) 861-6197
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP011179 PA
Adult Health Nurse Practitioner 363LA2200X LP-0000220 DE Primary

Addresses

Primary practice location

256 Chapman Rd Ste 106
Newark, DE 19702-5417

Mailing address

256 Chapman Rd Ste 106
Newark, DE 19702-5417
Phone (484) 550-2085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230508000331 DE Order and Referring Only - Nurse Practitioner 6305023334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP011179PAMDNurse Practitioner
LP-0000220DEMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1699065466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 CHAPMAN RD STE 106",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025417",
            "telephone_number": "484-550-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 CHAPMAN RD STE 106",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025417",
            "telephone_number": "302-444-4366",
            "fax_number": "302-861-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011179",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LP-0000220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.