MRS. KISHA TAMARA ANDERSON


Address: 151 Washington St, Newark, NJ 07102-3026
Phone: 9736223900

MRS. KISHA TAMARA ANDERSON (NPI# 1003881103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003881103
Entity Type Individual
Full Name MRS. KISHA TAMARA ANDERSON
Credential APN
Practice Address 151 Washington St
Newark
NJ 07102-3026
Mailing Address 312 Stuyvesant Ave
Newark
NJ 07106-3637
Practice Telephone 9736223900
Practice Fax Number 9736221698
Mailing Telephone 9733995265
Enumeration Date 2006-02-22
Last Update Date 2011-07-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
26NN11131200 NJ Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 151 WASHINGTON ST
City NEWARK
State NJ
Zip Code 07102-3026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447641691 Julianna Pennucci Physician Assistant 151 Washington St, Newark, NJ 07102-3026 2015-02-10
1013223593 Sabitri Nesbitt Nurse Practitioner 151 Washington St, Newark, NJ 07102-3026 2010-08-23
1093952335 Planned Parenthood of Metroplitan Nj, Inc. Clinic/Center 151 Washington St, Newark, NJ 07102-3026 2009-01-08
1285803403 Barbara Podinker Nurse Practitioner 151 Washington St, Newark, NJ 07102-3026 2008-02-21
1669650586 Lori Marino Physician Assistant 151 Washington St, Newark, NJ 07102-3026 2008-02-01
1700816360 Rhonda R Nichols Obstetrics & Gynecology 151 Washington St, Newark, NJ 07102-3026 2006-07-03
1528002193 Aneekah G Simmons Family Medicine 151 Washington St, Newark, NJ 07102-3026 2006-06-15
1871560748 Bonnie Lee Probert Nurse Practitioner 151 Washington St, Newark, NJ 07102-3026 2006-03-01
1841265675 Nancy Louis Physician Assistant 151 Washington St, Newark, NJ 07102-3026 2006-02-23
1447225545 Mary Sessa Nurse Practitioner 151 Washington St, Newark, NJ 07102-3026 2006-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487253779 Integrity, Inc Clinic/Center 1091-1093 Broad Street, Newark, NJ 07102 2020-10-19
1881292720 Oluwaseun Ademulegun Pharmacist 1084 Broad Street, Newark, Newark, NJ 07102 2020-10-13
1679042295 Henry Paul Grayner Specialist/Technologist 100 Lock St, Newark, NJ 07102 2018-11-14
1548736838 Integrity, Inc Substance Abuse Rehabilitation Facility 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 2018-10-15
1962981407 Crystal Kay-baune Mccown Social Worker 130 Orange St, Newark, NJ 07102 2018-08-07
1053808865 Nubi Consultants Corp. Dba Aplus Home Care Physical Therapist 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 2018-04-17
1396249264 Integrity, Inc Substance Abuse Rehabilitation Facility 49 Lincoln Park, Newark, NJ 07102 2018-03-23
1568960896 Saint James Health Inc Clinic/Center 36 Halsey Street, Newark, NJ 07102 2018-02-01
1992216527 Metropolitan Center for Human Services Psychologist 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 2017-10-23
1467974949 Ahmad Mohammad Tawfiq Damati Student in an Organized Health Care Education/Training Program 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 2017-07-17
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124595723 Patience Marks Nurse Practitioner 15 Shaw Avenue, Newark, NJ 07112 2018-11-01
1649776709 Samantha Nicole Anderson Nurse Practitioner 240 Mulberry St, Newark, NJ 07102-3528 2018-04-05
1659881530 Kelly Nichols Nurse Practitioner 140 E Delaware Ave, Newark, DE 19711-4605 2017-10-05
1588188528 Lauren Rainey Nurse Practitioner 4745 Ogletown Stanton Rd Ste 111, Newark, DE 19713-2070 2017-08-01
1477735363 Gail N Dunn Nurse Practitioner University of Delaware, Student Health Services, Newark, DE 19717 2007-12-03
1871611806 Elaine Marie Ramey Nurse Practitioner 155 Mcmillen Dr, Newark, OH 43055-1810 2007-03-27
1699265405 Carolyn Rose St Hilaire Nurse Practitioner 240 Mulberry St, Newark, NJ 07102-3528 2018-05-16
1588182430 Amanda W. Mcclelland Nurse Practitioner 100 Mcmillen Dr, Newark, OH 43055-1809 2017-08-30
1730622044 Aileen Mcelhaney Nurse Practitioner 27 Marrows Rd, Newark, DE 19713-3701 2016-11-18
1336467539 Belinda Luce Smith Nurse Practitioner 155 Jefferson St, 3rd Floor-newark Community Health Centers, Inc., Newark, NJ 07105-1706 2010-05-12
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Competitor

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City NEWARK
Zip Code 07102

Improve Information

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Dataset Information

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.

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