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Active NPI 1043098429 Individual Practitioner Male Practitioner

Shane Anderson

Licensed Practical Nurse • Earleville, MD

Professional Overview & Biography Verified Profile Summary

Shane Anderson is a registered healthcare professional specializing in Licensed Practical Nurse in Earleville, MD. Practice services are available at 314 GROVE NECK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

314 Grove Neck Rd

Earleville, MD 219193008

Telephone 4102756200
Associated Practice Facility / Clinic
🏢 314 Grove Neck Road Opco, Llc Facility NPI 1396619771

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Earleville, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Earleville, MD (636 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License DE L2-0013073

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Hayley Singleton

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1053190066
Jamie Hatfield

Registered Nurse

NPI 1114700192
NPI 1164283727

Licensed Master Social Worker

Amanda Russell

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1184401275
Rachel Coffin , LPN

Licensed Practical Nurse

NPI 1295514693

Licensed Practical Nurse

Christine Piazza

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1407634306

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2023

Registered at 314 GROVE NECK RD, EARLEVILLE, MD 219193008 (Tel: 4102756200)

📍
Updated Business Mailing Address September 18, 2023

Registered at 109 E REDDING ST, MIDDLETOWN, DE 197091432

👤
Provider Name / Credentials Updated September 18, 2023

Recorded as SHANE ANDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Licensed Practical Nurse (License #L2-0013073 in DE)

🟢
Initial NPI Registration & Enumeration September 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043098429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2023
Last Update: September 18, 2023
Sole Proprietor: No

Mailing Address

109 E Redding St

Middletown, DE 197091432

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.