Individual provider Active NPI

Nancy Andrews, NP

  • Primary Care Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1730297201
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
200955 Issued in LA
Practice address
2509 Broadmoor Blvd
Ste B
Monroe, LA 71201-3184
Phone
(878) 381-3823
NPI assigned
Aug 26, 2006
Last updated
Aug 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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 200955 NC
Primary Care Nurse Practitioner 363LP2300X 200955 LA Primary

Addresses

Primary practice location

2509 Broadmoor Blvd
Ste B
Monroe, LA 71201-3184

Mailing address

702 14TH Ave NW
Hickory, NC 28601-2320
Phone (828) 465-0811

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200955NCMDNurse Practitioner
200955LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Sleep Laboratories LLC Current Accepting new patients
Hickory Long Term Care Past Accepting new patients
James Robinson Hodges, MD Past Accepting new patients
Geriatric Consultants Past Accepting new patients
William Lee Young III Past Accepting new patients
Michael Christopher Desantis PastSince Apr 17, 2020 Accepting new patients
John Keith Earl Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1730297201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 14TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012320",
            "telephone_number": "828-465-0811",
            "fax_number": "828-465-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 BROADMOOR BLVD",
            "address_2": "STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013184",
            "telephone_number": "878-381-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "200955",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "200955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.