BRANDON ANDERSON (NPI# 1043607369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043607369 |
Entity Type | Individual |
Full Name | BRANDON ANDERSON |
Credential | AGACNP |
Practice Address |
8050 Township Line Rd Indianapolis IN 46260-2478 |
Mailing Address |
Po Box 12812 Belfast ME 04915-4040 |
Practice Telephone | 3174158500 |
Enumeration Date | 2015-04-24 |
Last Update Date | 2017-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71005507A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | MEDICARE RR PTAN | P01512410 | 01 |
IN | 201292680 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477938694 | Brandon Anderson | Counselor | 726 Elm Ave Unit 302, Long Beach, CA 90813-4468 | 2015-07-29 |
1619276433 | Brandon Anderson | Behavioral Analyst | 5429 Whisper Bluff St, North Las Vegas, NV 89031-0746 | 2011-03-18 |
1326282898 | Brandon John Anderson | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se Mmc 391, Pediatric Education Eg, Minneapolis, MN 55455 | 2009-04-28 |
1619180130 | Brandon Regan Anderson | Pharmacist | 105 Old York Rd, New Cumberland, PA 17070-2485 | 2007-05-08 |
1225536592 | Brandon Mark Anderson | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2018-01-31 |
1285154096 | Brandon Anderson | Counselor | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2017-06-22 |
1093261943 | Brandon Anderson | Pharmacist | 24760 Hospital Drive, Red Lake, MN 56671 | 2016-08-31 |
1881080471 | Brandon Anderson | Internal Medicine | 701 Grove Rd Fl 5, Greenville, SC 29605-4210 | 2015-04-09 |
1558762385 | Brandon Jae Anderson | Pharmacist | 2011 E Fry Blvd, Sierra Vista, AZ 85635-2753 | 2014-09-11 |
1336558220 | Brandon Lee Anderson | Nurse Practitioner | 8511 Augusta Dr, Lincoln, NE 68526-9572 | 2014-08-05 |
Street Address |
8050 TOWNSHIP LINE RD |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46260-2478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366441255 | Joy Elizabeth Boake | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2005-07-21 |
1962982215 | Kelly Krantz Hassman | Occupational Therapist | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2018-08-16 |
1740771120 | Jeannette Lee Gould | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2018-05-22 |
1164887618 | Deborah A Masiak | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260 | 2015-12-29 |
1962893230 | Stephanie Strouse | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2015-02-09 |
1154737021 | Austin Grant Goodman | Registered Nurse | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2014-07-10 |
1841543543 | Kimberley L Jelinek Allen | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2012-10-18 |
1114179900 | Ashley Sparks | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2008-10-13 |
1164524153 | David R Speer | Nurse Practitioner | 8050 Township Line Rd, St. Vincent Physician Network, Indianapolis, IN 46260-2478 | 2006-09-01 |
1629093703 | Kirk A Reed | Physician Assistant | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2006-07-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
Find all providers in zip 46260 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
1316370612 | Paradigm Living Concepts, LLC | Nurse Practitioner | 8904 Bash St Ste B, Indianapolis, IN 46256-1286 | 2013-08-10 |
1902414709 | Michelle Nicole Gibson | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-07-17 |
1467081455 | Sarah Elizabeth Wheeler | Nurse Practitioner | 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 | 2020-04-02 |
1154965531 | Monica Deryckere | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2019-10-29 |
1699318592 | Marcy Penrod | Nurse Practitioner | 8333 Naab Rd, Indianapolis, IN 46260-5924 | 2019-10-23 |
1124677000 | Amanda Marie Mccoy Ignaut | Nurse Practitioner | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-09-04 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46260 |
Please comment or provide details below to improve the information on BRANDON ANDERSON.
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.