Individual provider Active NPI

Andrew J Naumann, LPN, NRP

  • Licensed Practical Nurse
  • Middletown, PA
National Provider Identifier
1952018921
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
39414 Issued in WV
Practice address
76 Constellation CT
Middletown, PA 17057-5084
Phone
(443) 500-5093
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 0199795 MD
Military Health Care Provider 171000000X
Licensed Practical Nurse 164W00000X 39414 WV Primary

Addresses

Primary practice location

76 Constellation CT
Middletown, PA 17057-5084

Mailing address

12514 Fingerboard Rd
Monrovia, MD 21770-8721

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
0199795MDMDParamedic
39414WVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1952018921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12514 FINGERBOARD RD",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217708721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CONSTELLATION CT",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170575084",
            "telephone_number": "443-500-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMANN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "LPN, NRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MD",
            "license": "0199795",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "39414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.