Nina Gabrielle Johnson Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

89477 Issued in IN

Practice address

1205 Stepfields CV
Murfreesboro, TN 37130-5965

Phone

(629) 772-2716

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By 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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1841035532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 STEPFIELDS CV",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 STEPFIELDS CV",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305965",
            "telephone_number": "629-772-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NINA",
        "middle_name": "GABRIELLE JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "89477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Anderson Jr., SOCIAL WORKER
• Jennifer Lynn Anderson, APRN-BC, ACUTE CARE
• Jonathon Logan Anderson, DO
• Justin Anderson, DMD
• Margaret Anderson, MED
• Philip Anderson, RN
• Ryan Anderson, L.AC.
• Sarah Rochelle Anderson
• Shelby Nicole Anderson
• Stephen Daniel Anderson II, MD

• Licensed Practical Nurse in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.