KATHLEEN DIANE ANDERSON (NPI# 1457889800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457889800 |
| Entity Type | Individual |
| Full Name | KATHLEEN DIANE ANDERSON |
| Other Name | KATHLEEN BOECK ANDERSON |
| Credential | FNP |
| Practice Address |
152 Old State Highway 8 N Mount Upton NY 13809-4230 |
| Practice Telephone | (607) 867-4018 |
| Mailing Telephone | 6078674018 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
341758 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391779 | Kathleen Anderson | Speech-Language Pathologist | 832 Mccauley Rd, Mount Vernon, IL 62864-5766 | 2020-09-16 |
| 1306454020 | Kathleen O Anderson | Registered Nurse | 29721 Westminster Dr, North Olmsted, OH 44070-5070 | 2020-07-20 |
| 1922637602 | Kathleen Marie Anderson | Marriage & Family Therapist | 359 Trollingwood Rd, Haw River, NC 27258-8749 | 2020-04-05 |
| 1043863236 | Kathleen Louise Anderson | Social Worker | 9206 17th Ave Ne, Seattle, WA 98115-3214 | 2019-07-17 |
| 1245603737 | Kathleen Anderson | Registered Nurse | 5027 Astilbe Path, Liverpool, NY 13088-2181 | 2015-11-05 |
| 1992175574 | Kathleen Anderson | Social Worker | 2424 S 90th St Ste 502, West Allis, WI 53227-2455 | 2015-09-25 |
| 1679902811 | Kathleen Marie Anderson | Marriage & Family Therapist | 930 Shiloh Rd, Bldg 44, Ste. G, Windsor, CA 95492-9659 | 2013-11-07 |
| 1124378351 | Kathleen C. Anderson | Speech-Language Pathologist | 15873 Flying Jib Dr., Azle, TX 76020 | 2012-09-14 |
| 1730443672 | Kathleen Anderson | Specialist | 28 Stewart St, Floral Park, NY 11001-2911 | 2012-06-26 |
| 1750687406 | Kathleen Mary Anderson | Marriage & Family Therapist | 13194 Hillview Ln, Little Falls, MN 56345-6313 | 2011-01-27 |
| Street Address |
152 OLD STATE HIGHWAY 8 N |
| City | MOUNT UPTON |
| State | NY |
| Zip Code | 13809-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093378630 | Kelsey M Ross | Physical Therapy Assistant | 802 County Highway 1, Mount Upton, NY 13809-2135 | 2019-04-18 |
| 1154615672 | Michael Patrick Miller | Licensed Practical Nurse | 1720 State Highway 8, Mount Upton, NY 13809-4103 | 2011-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093378630 | Kelsey M Ross | Physical Therapy Assistant | 802 County Highway 1, Mount Upton, NY 13809-2135 | 2019-04-18 |
| 1154615672 | Michael Patrick Miller | Licensed Practical Nurse | 1720 State Highway 8, Mount Upton, NY 13809-4103 | 2011-06-01 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT UPTON |
| Zip Code | 13809 |
Please comment or provide details below to improve the information on KATHLEEN DIANE 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.