Jennifer E Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

319972-1 Issued in NY

Practice address

17 Albright Rd
Coram, NY 11727-3001

Phone

(631) 871-6934

NPI assigned

Sep 30, 2014

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1730582172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ALBRIGHT RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273001",
            "telephone_number": "631-871-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ALBRIGHT RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273001",
            "telephone_number": "631-871-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "319972-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Allison
• Rosa Elena Amador-Cortes, MS, CCC/SLP
• Shiva Ameri
• Adelowo Amole, MA, LMHC
• Brian Amzler
• Miloslava Andrst, MD
• Kianie Angeles
• Sarah Angrand, LPN
• Melissa Lea Antola, R.N.
• Apf Therapeutic Services, P. C.

• Licensed Practical Nurse in Coram, NY
• Providers in Coram, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.