MR. ANDRE L ANDERSON (NPI# 1134398480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134398480 |
| Entity Type | Individual |
| Full Name | MR. ANDRE L ANDERSON |
| Credential | BCBA |
| Practice Address |
4316 Summercrest Blvd Apt 514 Antioch TN 37013-5804 |
| Mailing Address |
Po Box 1361 Antioch TN 37011-1361 |
| Practice Telephone | 6152931864 |
| Mailing Telephone | 6152931864 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 1-04-1884 | TN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160960 | Andre Anderson II | Counselor | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2018-07-11 |
| 1174019731 | Andre Anderson | Dentist | 445 Highway 46 S, Dickson, TN 37055-2545 | 2018-07-06 |
| 1407235955 | Andre Anderson | Family Medicine | 1530 N 7th St Ste 200, Terre Haute, IN 47807-1061 | 2015-05-29 |
| 1023375979 | Andre Anderson | Counselor | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2012-04-17 |
| Street Address |
4316 SUMMERCREST BLVD APT 514 |
| City | ANTIOCH |
| State | TN |
| Zip Code | 37013-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706155 | Aisha Lbhalla | In Home Supportive Care | 324 Schoolhouse Ct, Antioch, TN 37013 | 2019-12-02 |
| 1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1053836593 | Inspired By Love Home Care, Inc. | In Home Supportive Care | 257 Maxwell Pl, Antioch, TN 37013 | 2017-08-05 |
| 1003354614 | Bridgestone Pharmacy LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2017-02-02 |
| 1215388947 | Stattee Medical Transpoprtation Inc | Non-emergency Medical Transport (VAN) | 340 Schoolhouse Ct, Antioch, TN 37013 | 2016-06-23 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1467821835 | Clifton Mcdaniel | Respiratory Therapist, Certified | 3165 Skinner Dr, Antioch, TN 37013 | 2015-09-16 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1013356757 | Kevin Eugene Groh | Physician Assistant | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | 2013-06-16 |
| Find all providers in zip 37013 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073986170 | Gustavo Adolfo Chavarria | Contractor | 2521 Vallecito Way, Antioch, CA 94531-9066 | 2015-11-11 |
| 1376916775 | Desiree Williams | Contractor | 1220 Quaise Moor E, Antioch, TN 37013-4966 | 2015-11-06 |
| 1902194434 | Sheredrick Anthony Edmundson | Contractor | 4233 Shagbark Trl, Antioch, TN 37013-7311 | 2011-07-19 |
| 1801866082 | Pamela D. Harris | Contractor | 4917 Stirrup Way, Antioch, CA 94531-8170 | 2006-01-23 |
| 1255813705 | Spectrum Home Health Care | Contractor | 4717 Debra Dr, Antioch, TN 37013-2904 | 2018-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288755 | Indi Arrington Shelton | Contractor | 1904 Meharry Blvd # 3, Nashville, TN 37208-2900 | 2020-09-04 |
| 1962021568 | Roberto Antonio Moreno Gonzalez | Contractor | 10226 Stellata Ln, Apison, TN 37302-1706 | 2020-04-13 |
| 1184261299 | Chester Arthur Ashford Jr. | Contractor | 10257 Eveninghill Dr, Cordova, TN 38016-0334 | 2019-12-09 |
| 1104469147 | Tami Lea Davis | Contractor | 3608 Highway 230, Hurricane Mills, TN 37078-2163 | 2019-10-22 |
| 1093366569 | Lisa Isom | Contractor | 485 Hazelwood Rd, Memphis, TN 38109-3259 | 2019-09-25 |
| 1366002396 | Thomas Eddins | Contractor | 4646 Poplar Ave Ste 437, Memphis, TN 38117-4443 | 2019-06-20 |
| 1124588082 | Mary Campbell | Contractor | 6220 Shallowford Rd Apt 573, Chattanooga, TN 37421-6921 | 2019-03-25 |
| 1275090649 | Cure Orthopedics, LLC | Contractor | 4327 Signal Hill Dr, Nashville, TN 37205-3821 | 2019-02-21 |
| 1306302021 | Antuan Eugenia Cornelius | Contractor | 813 Peachers Mill Rd, Clarksville, TN 37042-5419 | 2019-02-18 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
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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.