KERRY LEIGH ANDERSON (NPI# 1205469210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205469210 |
| Entity Type | Individual |
| Full Name | KERRY LEIGH ANDERSON |
| Credential | CASAC |
| Practice Address |
1045 James St Syracuse NY 13203-2730 |
| Mailing Address |
1045 James St Ste 100 Syracuse NY 13203-2758 |
| Practice Telephone | 3154251004 |
| Mailing Telephone | 3154251004 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
31153 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356812309 | Kerry Lynn Anderson | Nurse Practitioner | 25 Scotch Rd Ste A, Ewing, NJ 08628-2500 | 2018-12-16 |
| 1346763927 | Kerry A Anderson | Nurse Practitioner | 282 Route 101 # Units910, Amherst, NH 03031-1706 | 2017-07-25 |
| 1851404628 | Kerry Scot Anderson | Optometrist | 14335 Pipeline Ave, Chino, CA 91710-5642 | 2006-08-16 |
| 1992326375 | Kerry Anderson | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2020-04-27 |
| 1346785698 | Kerry Marie Anderson | Counselor | 55 Carleton Ave, East Islip, NY 11730-2133 | 2016-12-22 |
| 1679028989 | Kerry Anderson | Nurse Practitioner | 9200 W Wisconsin Ave, Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2016-08-17 |
| 1457783375 | Kerry Lynn Anderson | Pharmacist | 1401 2nd Ave, T-2786, Seattle, WA 98101-2187 | 2013-08-01 |
| 1184760977 | Kerry Lea Anderson | Counselor | 2600 Grand Ave, Suite 312, Des Moines, IA 50312-5375 | 2007-01-29 |
| 1659310829 | Kerry W Anderson | Podiatrist | 809 N Liberty St, Boise, ID 83704-8703 | 2006-06-05 |
| Street Address |
1045 JAMES ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912153 | Alida Anne Dejong | Registered Nurse | 1045 James St, Syracuse, NY 13203-2730 | 2005-06-16 |
| 1326648395 | Liberty Resources Psychology, Physical, Occupational and Speech Therap | Early Intervention Provider Agency | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-29 |
| 1083211619 | Tracy L. Eckstrand | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-06 |
| 1306458070 | Amy Marie Ruetsch | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-23 |
| 1891306742 | Nichole Dawn Slate | Social Worker | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-13 |
| 1245849280 | Louis Shirley | Peer Specialist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-27 |
| 1083232367 | Melissa Louise Potter | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-13 |
| 1881221885 | Kirsten Melville | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-27 |
| 1699302380 | Jennifer Breau | Counselor | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-24 |
| 1679109771 | Lora M Denero | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972041929 | Central New York Services | Counselor | 321 W Onondaga St Ste 201, Syracuse, NY 13202-3207 | 2017-02-09 |
| 1326444860 | Lynn Hylwa | Counselor | 344 W Genesee St, Syracuse, NY 13202-1100 | 2014-11-11 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| 1952550592 | Wendy Kay Beale | Counselor | 770 James St Ste 215, Syracuse, NY 13203-2644 | 2008-09-18 |
| 1114051026 | Sarah S White | Counselor | 201 Miles Ave, Syracuse, NY 13210-3117 | 2007-03-15 |
| 1609931765 | Syracuse Recovery Services | Counselor | 109 S Warren St Ste 806, Syracuse, NY 13202-4721 | 2006-12-27 |
| 1245393115 | Recovery Counseling Services | Counselor | 109 S Warren St Ste 508, Syracuse, NY 13202-4734 | 2006-12-19 |
| 1487287827 | Amy Ankrum | Counselor | 319 E Water St, Syracuse, NY 13202-1123 | 2020-02-13 |
| 1407492978 | Heather L Green | Counselor | 2112 Erie Blvd E Ste 200, Syracuse, NY 13224-1041 | 2019-11-20 |
| Find all providers in SYRACUSE | ||||
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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.