Active NPI
Ligia Daniela Andersen, RN, MSN
- Registered Nurse
- Portland, OR
National Provider Identifier
1962046292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 099000592RN
- Practice address
- 4400 NE Halsey St
Building 1 Ste 200
Portland, OR 97213-1545 - Phone
- (503) 215-0043
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 099000592RN | OR | Primary |
Addresses
Primary practice location
4400 NE Halsey St
Building 1 Ste 200
Portland, OR 97213-1545
Mailing address
PMB 433 4326 SE Woodstock Blvd.
Portland, OR 97206
Phone (503) 502-5785
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099000592RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1962046292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 433 4326 SE WOODSTOCK BLVD.",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97206",
"telephone_number": "503-502-5785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NE HALSEY ST",
"address_2": "BUILDING 1 STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131545",
"telephone_number": "503-215-0043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "LIGIA",
"middle_name": "DANIELA",
"name_prefix": "Mrs.",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "099000592RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.