MS. LISSA MARIE ANDERSON NP NPI 1518630060

NPI Information

NPI: 1518630060
Provider Name: MS. LISSA MARIE ANDERSON, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1801 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-0585
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MS. Lissa Marie Anderson, NP is a gerontology nurse practitioner in Indianapolis, IN with 3 years of experience. MS. Lissa Marie Anderson, NP NPI is 1518630060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduation Year:2021

The provider's business location address is:

1801 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202-228
Phone: (317) 962-0585

The NPI 1518630060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/30/2021 and was last updated on 12/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	71011270A	INDIANA	Yes
2	363LA2100X	Nurse Practitioner	Acute Care	71011270A	INDIANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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