Individual provider Active NPI

Andrea Jo Ladowski, MSOTR/L

  • Contractor
  • Mooresville, NC
National Provider Identifier
1932545969
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
2781 Issued in NC
Practice address
191 Pamlico LN
Mooresville, NC 28117-5957
Phone
(704) 577-6296
NPI assigned
May 16, 2013
Last updated
May 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 2781 NC Primary

Addresses

Primary practice location

191 Pamlico LN
Mooresville, NC 28117-5957

Mailing address

191 Pamlico LN
Mooresville, NC 28117-5957
Phone (704) 577-6296

Other names 1

  • Andrea Jo Nietopski Former name

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

State licenses

LicenseStateTypeSpecialty
2781NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1932545969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PAMLICO LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175957",
            "telephone_number": "704-577-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PAMLICO LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175957",
            "telephone_number": "704-577-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADOWSKI",
        "first_name": "ANDREA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NC",
            "license": "2781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "NIETOPSKI",
            "middle_name": "JO",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.