Individual provider Active NPI

Anne Archbald, NP

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1942277553
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG0000184 Issued in DE
Practice address
5311 Limestone Rd
Ste 201
Wilmington, DE 19808-1246
Phone
(302) 234-9109
Fax
(302) 234-9042
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG0000184 DE Primary

Addresses

Primary practice location

5311 Limestone Rd
Ste 201
Wilmington, DE 19808-1246

Mailing address

5311 Limestone Rd
Ste 201
Wilmington, DE 19808-1246
Phone (302) 234-9109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000251 DE Practitioner - Nurse Practitioner 9739220690 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG0000184DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stoney Batter Family Medicine Associates, P.a. CurrentSince Nov 12, 2009 Accepting new patients

Locations

5311 Limestone Rd
Ste 201
Wilmington, DE 19808
Phone (302) 234-9109

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1942277553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 LIMESTONE RD",
            "address_2": "STE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081246",
            "telephone_number": "302-234-9109",
            "fax_number": "302-234-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 LIMESTONE RD",
            "address_2": "STE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081246",
            "telephone_number": "302-234-9109",
            "fax_number": "302-234-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHBALD",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0000184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.