DR. KAITLIN REISS ANDERSON (NPI# 1346645595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346645595 |
| Entity Type | Individual |
| Full Name | DR. KAITLIN REISS ANDERSON |
| Other Name | KAITLIN ELIZABETH REISS |
| Credential | CPNP |
| Practice Address |
435 Marina Dr Georgetown SC 29440-2410 |
| Mailing Address |
774 Chatter Rd Mount Pleasant SC 29464-5159 |
| Practice Telephone | 8438338595 |
| Mailing Telephone | 8054627047 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 225342 | SC | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
21374 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2014 Bees Ferry Rd, Charleston, SC 294146603 | 8435561070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352113 | Kaitlin Marie Anderson | Audiologist | 302 Randall Rd Ste 210, Geneva, IL 60134-4205 | 2018-07-06 |
| 1376973958 | Kaitlin Wha Ran Anderson | Advanced Practice Midwife | 710 E 24th St, Suite 403, Minneapolis, MN 55404-3840 | 2013-11-19 |
| 1710227772 | Kaitlin Marie Anderson | Dietitian, Registered | 500 37th St Nw, Rochester, MN 55901-3404 | 2013-02-27 |
| 1275800633 | Kaitlin Victoria Anderson | Speech-Language Pathologist | 200 Lothrop St, Suite 234, Pittsburgh, PA 15213-2536 | 2011-11-29 |
| 1710962501 | Kaitlin E Anderson | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2005-12-14 |
| Street Address |
435 MARINA DR |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245267731 | Michelle M Steffen | Pediatrics | 435 Marina Dr, Georgetown, SC 29440-2410 | 2006-06-28 |
| 1962047456 | Louise Smunk Holladay | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2019-11-08 |
| 1366905655 | Emily Kate Jenkins | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2019-04-12 |
| 1063985968 | Shannon Garlock Davis | Counselor | 435 Marina Dr, Georgetown, SC 29440-2410 | 2019-01-03 |
| 1699295964 | Sunshine Adams Rearden | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2017-06-27 |
| 1275993420 | Es Pediatric Partners LLC | Pediatrics | 435 Marina Dr, Georgetown, SC 29440-2410 | 2016-03-01 |
| 1164738852 | Rebekah England Hanna | Pediatrics | 435 Marina Dr, Georgetown, SC 29440-2410 | 2010-08-19 |
| 1366682254 | Jonathan Philip Elias | Pediatrics | 435 Marina Dr, Georgetown, SC 29440-2410 | 2009-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1699067504 | Eliamar Herrera | Nurse Practitioner | 517 Tamara Dr, Georgetown, TX 78628-8828 | 2011-05-10 |
| 1588846166 | Linda Joyce Petrusick | Nurse Practitioner | 57 Jessamine Street, Georgetown, SC 29442 | 2007-12-05 |
| 1831710458 | Christine Maire Black | Nurse Practitioner | 21141 Sterling Ave Unit 1, Georgetown, DE 19947-5571 | 2020-05-05 |
| 1366905655 | Emily Kate Jenkins | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2019-04-12 |
| 1528526928 | Raquel Limon | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2019-03-05 |
| 1790255891 | Miranda Afsharirad | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2018-11-30 |
| 1508332073 | Raquel Goytia | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2018-10-22 |
| 1912382052 | Anna Newell | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2015-07-29 |
| 1295138998 | Emilye Kathryn Eggeling | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2014-10-08 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
Please comment or provide details below to improve the information on DR. KAITLIN REISS 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.