KYLE LESLIE ANDERSON (NPI# 1316309610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316309610 |
| Entity Type | Individual |
| Full Name | KYLE LESLIE ANDERSON |
| Credential | RN |
| Practice Address |
510 E Amende Dr Odessa WA 99159-7003 |
| Mailing Address |
Po Box 190 Odessa WA 99159-0190 |
| Practice Telephone | 5099822614 |
| Mailing Telephone | 5099822614 |
| Mailing Fax Number | 5099822675 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60967900 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932523792 | Kyle Charles Anderson | Physical Therapist | 15 S 1000 E Ste 25, Payson, UT 84651-5595 | 2014-02-13 |
| 1326383100 | Kyle C Anderson | Nurse Anesthetist, Certified Registered | 22 Bridge St Ste 9, Concord, NH 03301-4987 | 2012-12-04 |
| 1720221617 | Kyle Anderson | Dermatology | 11301 Nall Ave Fl 2, Bmo Harris Bank Bldg., Leawood, KS 66211-1672 | 2009-04-08 |
| 1952383176 | Kyle Anderson | Orthopaedic Surgery | 32270 Telegraph Rd Ste 220b, Bingham Farms, MI 48025-2456 | 2005-11-15 |
| 1770576332 | Kyle R. Anderson | Internal Medicine | 730 Malabar Rd, Malabar, FL 32950-3140 | 2005-08-29 |
| 1447870571 | Kyle Anderson | Counselor | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2020-04-18 |
| 1992333215 | Kyle John Anderson | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-31 |
| 1417580945 | Kyle Anderson | Pharmacist | 812 S 1st Ave, Iowa City, IA 52245-5208 | 2020-02-12 |
| 1912540980 | Kyle Edward Anderson | Nurse Practitioner | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2019-10-23 |
| 1982170676 | Kyle Christian Anderson | Nurse Practitioner | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2018-10-19 |
| Street Address |
510 E AMENDE DR |
| City | ODESSA |
| State | WA |
| Zip Code | 99159-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315309 | Violet Frances Rice | Nurse Practitioner | 510 E Amende Dr, Odessa, WA 99159-7003 | 2005-06-01 |
| 1740891829 | Daniel Glaze | Nurse Practitioner | 510 E Amende Dr, Odessa, WA 99159-7003 | 2020-08-12 |
| 1851813182 | Andjine Vanbokkelen | Nurse Practitioner | 510 E Amende Dr, Odessa, WA 99159-7003 | 2017-07-07 |
| 1558600015 | Deborah A Fogg | Nurse Practitioner | 510 E Amende Dr, Odessa, WA 99159-7003 | 2013-02-04 |
| 1720275837 | James T. Dedeaux Jr. | Social Worker | 510 E Amende Dr, Odessa, WA 99159-7003 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831683168 | Gregg Liedtka Dmd Pllc | Dentist | 20 W 1st Ave, Odessa, WA 99159 | 2018-06-20 |
| 1891845046 | Troy D. Eldridge Sr. | Chiropractor | 18 W. 1st Avenue, Odessa, WA 99159 | 2007-01-11 |
| 1780746859 | Marlene K Brendell | Family Medicine | 510 E. Amende, Odessa, WA 99159 | 2006-12-15 |
| 1023122520 | Lincoln County Public Hospital District 1 | Clinic/Center | 510 E Amende, Odessa, WA 99159 | 2006-08-19 |
| 1114031614 | Lincoln County Public Hospital District 1 | Assisted Living Facility | 506 E. Amende, Odessa, WA 99159 | 2006-08-19 |
| 1639283971 | Lincoln County Public Hospital District 1 | General Acute Care Hospital | E. 502 Amende, Odessa, WA 99159 | 2006-08-17 |
| 1245343193 | Lincoln County Public Hospital District 1 | Ambulance | 502 E Amende, Odessa, WA 99159 | 2006-08-16 |
| 1073524690 | Lincoln County Public Hospital District 1 | General Acute Care Hospital | 502 E. Amende, Odessa, WA 99159 | 2006-08-10 |
| 1699977561 | Eldridge Chiropractic Ps | Chiropractor | 18 W. 1st Avenue, Odessa, WA 99159 | 2007-06-04 |
| 1740317544 | Lincoln County Public Hospital District 1 | Family Medicine | 510 E. Amende, Odessa, WA 99159 | 2007-02-27 |
| Find all providers in zip 99159 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776115 | Taylor Marie Russell | Nurse Practitioner | 15217 Wind Whisper Dr, Odessa, FL 33556-1832 | 2020-10-07 |
| 1992310551 | Taylor Barnes | Nurse Practitioner | 5919 Fitzgerald Rd, Odessa, FL 33556-2355 | 2020-09-10 |
| 1558995753 | Mission Health, Pllc | Nurse Practitioner | 3112 San Saba Dr, Odessa, TX 79765-5058 | 2020-02-26 |
| 1710549084 | Alyce Greenwood | Nurse Practitioner | 16501 Harper Pond Ln Apt 301, Odessa, FL 33556-6101 | 2019-07-08 |
| 1073170411 | Trudian Alicia Lester | Nurse Practitioner | 8050 E Highway 191 Ste 104, Odessa, TX 79765-8614 | 2019-05-21 |
| 1043773153 | Janette Garcia | Nurse Practitioner | 420 E 6th St Ste 201b, Odessa, TX 79761-4572 | 2019-04-08 |
| 1073074258 | Courtney Clubb | Nurse Practitioner | 410 N Hancock Ave # 4, Odessa, TX 79761-5140 | 2019-03-28 |
| 1891256434 | Joann Mercedes Georges Guillory | Nurse Practitioner | 56 Berkshire Cir, Odessa, TX 79765-2218 | 2019-03-27 |
| 1689138521 | Jacqueline Alcantara | Nurse Practitioner | 15103 Virginia Sta Apt 214, Odessa, FL 33556-3579 | 2019-01-24 |
| 1841767597 | Michael Ebrada | Nurse Practitioner | 16400 Rollingbrook Dr, Odessa, FL 33556-4907 | 2018-10-31 |
| Find all providers in ODESSA | ||||
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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.