The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bronx and New York

1,767 active clinicians are listed under Licensed Practical Nurse with a practice address in Bronx, NY (22,839 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

0% of these 1,767 clinicians have the CMS telehealth indicator.

0% of these 1,767 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES NY 303610-1

An individual 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location January 22, 2019

Registered at 4057 PAULDING AVE PH, BRONX, NY 104664705 (Tel: 6463871559)

📍

Updated Business Mailing Address January 22, 2019

Registered at 4057 PAULDING AVE, BRONX, NY 104664705 (Tel: 6463871559)

👤

Provider Name / Credentials Updated January 22, 2019

Recorded as ANNA DELL JACKSON, LPN

✅

NPI Profile Active April 06, 2011

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) April 06, 2011

Registered at 4423 FURMAN AVE, PH, BRONX, NY 104661207 (Tel: 6463871559)

📍

Business Mailing Address (Initial Record) April 06, 2011

Registered at PO BOX 1316, BRONX, NY 104660307 (Tel: 6463871559)

👤

Provider Name / Credentials (Initial Record) April 06, 2011

Recorded as ANNA POWELL, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2011

Licensed Practical Nurse (license number reported to NPPES: NY 303610-1)

🟢

Initial NPI Registration & Enumeration November 23, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184926172

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 23, 2010

Last Update: January 22, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4057 Paulding Ave

Bronx, NY 104664705

Phone: 6463871559

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.