MR. MICHAEL TIMOTHY ANDERSON (NPI# 1114237245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114237245 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL TIMOTHY ANDERSON |
| Practice Address |
255 W Moana Ln Ste 104 Reno NV 89509-4942 |
| Mailing Address |
2840 Albazano Dr Sparks NV 89436-7050 |
| Practice Telephone | 7755250270 |
| Mailing Telephone | 7752326321 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2015-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 0801819438 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1881234623 | Michael Anderson | Durable Medical Equipment & Medical Supplies | 1203 N Hobart St Ste 34, Pampa, TX 79065-4664 | 2020-01-09 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1679971683 | Michael Anderson | Occupational Therapist | 355 Saddlebrook Cir, Lewisville, NC 27023-8213 | 2014-12-08 |
| 1881004877 | Michael Anderson | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 2014-04-30 |
| 1467871517 | Michael Callum Anderson | Counselor | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2014-04-15 |
| 1871911958 | Michael Anderson | Physical Therapist | 9909 Mira Mesa Blvd Ste 260, San Diego, CA 92131-1064 | 2014-04-04 |
| Street Address |
255 W MOANA LN STE 104 |
| City | RENO |
| State | NV |
| Zip Code | 89509-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306316153 | Krista Siotas | Social Worker | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2018-12-04 |
| 1902348337 | Lynda Jo Peterson | Behavior Technician | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2016-11-16 |
| 1336681717 | Derrek Dominguez | Behavior Technician | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2016-11-16 |
| 1497121370 | Alicia Snider | Counselor | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2015-08-14 |
| 1558741108 | Kristin Moore | Counselor | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2015-06-08 |
| 1548653835 | Kila Paschall | Counselor | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2015-03-10 |
| 1902199458 | Aaron J Holcomb | Residential Treatment Facility, Emotionally Disturbed Children | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726092 | Malika Fahie | Rehabilitation Practitioner | 160 Sinclair St Apt 151, Reno, NV 89501-2043 | 2019-12-05 |
| 1780153767 | Cody Bull | Rehabilitation Practitioner | 714 Diogenes Dr, Reno, NV 89512-1336 | 2018-11-19 |
| 1710456793 | Briley Brewer | Rehabilitation Practitioner | 255 N Sierra St Unit 815, Reno, NV 89501-1372 | 2018-11-19 |
| 1114465440 | Vanessa Loudermilk | Rehabilitation Practitioner | 690 E Plumb Ln Ste 200, Reno, NV 89502-3597 | 2017-02-07 |
| 1275077349 | Victoria Mckay | Rehabilitation Practitioner | 5375 Reno Corporate Drive, Reno, NV 89511 | 2016-12-08 |
| 1376099630 | Edwin Minera | Rehabilitation Practitioner | 4600 Kiezke Lane, O-260, Reno, NV 89502 | 2016-08-28 |
| 1891159075 | Janelle Clark Capurro | Rehabilitation Practitioner | 65 Regency Way Ste A, None, Reno, NV 89509-3423 | 2016-04-13 |
| 1346644598 | Fatai Langi | Rehabilitation Practitioner | 4401 Reggie Rd, Reno, NV 89502-6444 | 2014-10-17 |
| 1104220276 | Ronald Conley | Rehabilitation Practitioner | 2708 Eastshore Pl, Reno, Reno, NV 89509-4318 | 2014-10-17 |
| 1639580277 | Kathleen Barth | Rehabilitation Practitioner | 1272 Laredo Ct, Reno, NV 89503-3142 | 2014-05-16 |
| Find all providers in RENO | ||||
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| 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.