Victoria A Anderson, CNA;( CCMA)

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

15D2275815 Issued in IN

Practice address

1387 N Shadeland Ave Ste E
Indianapolis, IN 46219-3605

Phone

(317) 361-6988

NPI assigned

Aug 9, 2021

Last updated

Apr 24, 2023By 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 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gifted Hands Home Care LLC

  dba Gifted Hands Laboratory LLC

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1164113387

  Clinical Medical Laboratory

  NPD Authorized official
• Gifted Hands Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Indianapolis, IN
  • NPI 1659148310
  NPD Authorized official
• Gifted Hands Home Care

  • Home Health Agency
  • Chicago, IL
  • NPI 1104636794
  NPD Authorized official
• Gifted Hands Home Care

  • In Home Supportive Care Agency
  • Fairfield, OH
  • NPI 1720944382
  NPD Authorized official
• Gifted Hands Home Care

  • Customized Equipment (DME)
  • Indianapolis, IN
  • NPI 1386592962
  Authorized official Same address or phone
• Gifted Hands Home Care

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1396682654
  Authorized official Same address or phone
• Gifted Hands Home Care

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1669251716
  Authorized official Same address or phone
• Gifted Hands Home Care LLC

  dba Gifted Hands Laboratory LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
  • NPI 1386410041
  Authorized official Same address or phone
• Gifted Hands Home Care LLC

  dba Gifted Hands Laboratory LLC

  • Multi-Specialty Clinic/Center
  • Indianapolis, IN
  • NPI 1689358657
  Authorized official Same address or phone
• Gifted Hands Laboratory LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1457120115
  Authorized official Same address or phone
• Gifted Hands Transportation

  • Non-emergency Medical Transport (VAN)
  • Fairfield, OH
  • NPI 1497611750
  Authorized official Same address or phone

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1922773241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N LUETT AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222407",
            "telephone_number": "317-679-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 N SHADELAND AVE STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193605",
            "telephone_number": "317-361-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 N Luett Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462222407",
            "country_code": "US",
            "telephone_number": "317-679-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "CNA;( CCMA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "15D2275815",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "21-015355-1",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "000657",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210153551",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Anderson, RBT
• Sophia Renee Anderson, MD
• Taletha Anderson, RBT
• Tomeika Rashel Anderson, D.O.
• Trista Michelle Anderson, NP
• Wesley Luke Anderson, MD
• Whitney Anderson
• Leah Christine Anderton, DO
• Theresa Andis
• Masatoshi Ando, D.D.S

• Clinical Medical Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.