CHAMPAGNE ANDERSON LPN
NPI 1669747408
Licensed Practical Nurse in Rochester, NY

Active since March 13, 2012
663 PORTLAND AVE, ROCHESTER, NY 14621(585) 406-2852 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Champagne Anderson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPAGNE ANDERSON LPN (NPI 1669747408) is an individual licensed practical nurse in Rochester, New York, licensed in New York (308340) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1669747408
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHAMPAGNE ANDERSONCredential: LPN
Location Address663 PORTLAND AVERochester, NY 14621-5132
Mailing Address663 Portland AveRochester, NY 14621-5132 · (585) 406-2852
Sole ProprietorYes
Enumeration DateMarch 13, 2012
NPI 1669747408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 308340
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
663 PORTLAND AVE, Rochester, NY 14621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champagne Anderson's NPI number?

The NPI number for Champagne Anderson is 1669747408. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Champagne Anderson located?

Champagne Anderson practices at 663 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 406-2852.

What is Champagne Anderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Champagne Anderson was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.