Robert Jeffrey Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5209925 Issued in FL

Practice address

138 Pelican Cove Dr
Rockwall, TX 75087-4634

Phone

(903) 486-1393

NPI assigned

May 14, 2014

Last updated

May 14, 2014By the provider in NPPES

Sex

Male

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1861803694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PELICAN COVE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874634",
            "telephone_number": "903-486-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PELICAN COVE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874634",
            "telephone_number": "903-486-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBERT",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5209925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Anderson
• Candice Marie Anderson
• Chelsey Diane Anderson
• Kailey Alise Anderson I
• Mallory Anderson
• Andrea Andes Spilsbury, LMFT
• Julio Jose Andino-Velez, M.D.
• Andrea T Vanderpool, PH.D., PLLC
• Marqus Anthony Andrews
• Melissa Andujar

• Licensed Practical Nurse in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.