DR. LEONA MARIE ANDERSON (NPI# 1629007182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629007182 |
| Entity Type | Individual |
| Full Name | DR. LEONA MARIE ANDERSON |
| Credential | DNP, AGPCNP-C |
| Practice Address |
101 1st St Glendale OR 97442-9640 |
| Mailing Address |
1843 Starveout Creek Rd Azalea OR 97410-9701 |
| Practice Telephone | 5418325400 |
| Mailing Telephone | 5418378374 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-10 |
| NPI Deactivation Date | 04/13/2019 |
| NPI Reactivation Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
RN091484 | GA | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201805000NPPP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992067813 | Leona Anderson | Registered Nurse | 1855 Ames Blvd, Marrero, LA 70072-3429 | 2012-06-15 |
| Street Address |
101 1ST ST |
| City | GLENDALE |
| State | OR |
| Zip Code | 97442-9640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114480399 | Glendale Community Primary Care | Clinic/Center | 101 1st St, Glendale, OR 97442-9640 | 2019-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851517353 | Robert J Briseno | Dentist | 114 Molly St, Glendale, OR 97442 | 2007-04-17 |
| 1134255169 | Glendale Ambulance District | Ambulance | 416 Tunnel Road, Glendale, OR 97442-0495 | 2007-02-26 |
| 1902351489 | Donato and Wood Consulting Inc | Physical Therapist | 114 Molly St, Glendale, OR 97442-3001 | 2016-08-24 |
| 1912244013 | Norma Ann Hubbard | Residential Treatment Facility, Physical Disabilities | 647 Junction Rd, Glendale, OR 97442-3706 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831262 | Legacy of Tender Care Hospice Inc | Hospice Care, Community Based | 3643 San Fernando Rd, Glendale, CA 91204-2916 | 2020-11-05 |
| 1013518976 | Crowning Comfort Hospice Inc | Hospice Care, Community Based | 401 N Brand Blvd Ste 238, Glendale, CA 91203-4443 | 2020-11-05 |
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1437750528 | Innovative Pain and Wellness Plc | Chiropractor | 8110 W Union Hills Dr Ste 320, Glendale, AZ 85308-8181 | 2020-11-04 |
| 1265033500 | M&m Medical Transportation | Non-emergency Medical Transport (VAN) | 4421 W Cholla St, Glendale, AZ 85304-3533 | 2020-11-03 |
| 1245831668 | Your Bestcare Hospice Inc | Hospice Care, Community Based | 419 W Palmer Ave Ste A, Glendale, CA 91204-2407 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
| 1982205407 | A & T Hospice | Hospice Care, Community Based | 401 N Brand Blvd Ste 240, Glendale, CA 91203-4443 | 2020-11-02 |
| Find all providers in GLENDALE | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445768 | Anna Manukyan | Nurse Practitioner | 814 E Broadway Ste 1, Glendale, CA 91205-4552 | 2020-04-05 |
| 1689225427 | Robert Wayne Baker | Nurse Practitioner | 1236 E Harvard St, Glendale, CA 91205-1412 | 2019-09-23 |
| 1548785728 | Evette Facey | Nurse Practitioner | 6506 Myrtle Ave, Glendale, NY 11385-6250 | 2017-08-08 |
| 1619498128 | Anna Krakowski | Nurse Practitioner | 7137 70th St # C, Glendale, NY 11385-7245 | 2017-07-05 |
| 1023567435 | Victoria Bowers | Nurse Practitioner | 6808 N Dysart Rd Ste 136, Glendale, AZ 85307-2232 | 2016-09-26 |
| 1437474129 | Paula Kay Scoggins | Nurse Practitioner | 4221 W Villa Rita Dr, Glendale, AZ 85308-2514 | 2010-04-06 |
| 1205398120 | Christy L Hogue | Nurse Practitioner | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2019-04-01 |
| 1518494020 | John Edgar Alan Hammonds | Nurse Practitioner | 5620 W Thunderbird Rd Ste F1, Glendale, AZ 85306-4652 | 2017-05-15 |
| 1750820478 | Mns Medical Group | Nurse Practitioner | 1110 Sonora Ave, Glendale, CA 91201-1952 | 2017-02-14 |
| 1558717314 | Jasmine Petrosyan | Nurse Practitioner | 519 E Broadway, Glendale, CA 91205-1110 | 2016-05-11 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.