Individual provider Active NPI

Donna Lynn Anderson, RN

  • Home Health Registered Nurse
  • Danville, WV
National Provider Identifier
1891419115
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
47163 Issued in WV
Practice address
298 Tricorn Rd
Danville, WV 25053-7148
Phone
(304) 369-1385
Fax
(304) 369-9684
NPI assigned
Sep 29, 2022
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 47163 WV Primary

Addresses

Primary practice location

298 Tricorn Rd
Danville, WV 25053-7148

Mailing address

298 Tricorn Rd
Danville, WV 25053-7148
Phone (304) 369-1385

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
47163WVMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Homecare, LLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

298 Tricorn Rd
Danville, WV 25053
Phone (304) 369-1385

Organizations & group practices 1

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1891419115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 TRICORN RD",
            "city": "DANVILLE",
            "state": "WV",
            "postal_code": "250537148",
            "telephone_number": "304-369-1385",
            "fax_number": "304-369-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 TRICORN RD",
            "city": "DANVILLE",
            "state": "WV",
            "postal_code": "250537148",
            "telephone_number": "304-369-1385",
            "fax_number": "304-369-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONNA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "47163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.