GREG W ANDERSON (NPI# 1508369034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508369034 |
| Entity Type | Individual |
| Full Name | GREG W ANDERSON |
| Credential | FNP |
| Practice Address |
2018 Pulliam St San Angelo TX 76905-5148 |
| Mailing Address |
Po Box 22000 San Angelo TX 76902-7200 |
| Practice Telephone | 3256597290 |
| Practice Fax Number | 3256597291 |
| Mailing Telephone | 3256581511 |
| Mailing Fax Number | 3254812166 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP135480 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1346724689 | Greg Anderson | Massage Therapist | 6855 4th St Nw Ste B-2, Los Ranchos, NM 87107-6100 | 2018-09-22 |
| 1154368801 | Greg L. Anderson | Psychiatry & Neurology | 1021 Majestic Drive, Suite 200, Lexington, KY 40513 | 2006-06-01 |
| 1255307047 | Greg Anderson | Family Medicine | 722 N State St, Bellingham, WA 98225-5334 | 2006-02-23 |
| Street Address |
2018 PULLIAM ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76905-5148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588646392 | Shannon Joint Ventures, Inc | Internal Medicine | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2005-11-17 |
| 1881118693 | Fresenius Kidney Care Concho Valley, LLC | Clinic/Center | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2017-08-02 |
| 1336386028 | Shannon Medical Center | Clinic/Center | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2009-01-16 |
| 1184815342 | Susan C Wilkinson | Clinical Nurse Specialist | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2007-08-05 |
| 1003951245 | David Nichols | Emergency Medicine | 2018 Pulliam St, San Angelo, TX 76905 | 2007-02-21 |
| 1457368367 | Glen Michael Mcferren | Psychiatry & Neurology | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-08-02 |
| 1447279351 | Rangarao Chilukuri | Internal Medicine | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-07-19 |
| 1710913280 | Jackson Todd Achilles | Psychiatry & Neurology | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-06-24 |
| 1235199084 | Shannon Medical Center | Psychiatric Unit | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| 1114987963 | Shannon Medical Center | Skilled Nursing Facility | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639437197 | Richard Yeaton Burnell | Registered Nurse | 2018 Bus Us Highway 67-j, San Angelo, TX 76905 | 2012-05-02 |
| 1568752053 | Lucy Jo Smith | Counselor | 2710 Smith Blvd., San Angelo, TX 76905 | 2011-04-18 |
| 1821204587 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2706 Watson Street, San Angelo, TX 76905 | 2007-05-16 |
| 1770688103 | Alan Keith Carson | Counselor | 218 Pulliam St., San Angelo, TX 76905 | 2006-09-13 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1417340910 | Leslie Ann Rendon | Contractor | 1213 Rita Cir, San Angelo, TX 76905-4201 | 2015-03-09 |
| 1972925295 | Carlos Robledo | Pharmacist | 2626 Smith Blvd, San Angelo, TX 76905-4285 | 2014-01-07 |
| 1376163501 | Megan Elizabeth Barnum | Registered Nurse | 1231 Rita Cir, San Angelo, TX 76905-4292 | 2020-04-17 |
| 1225031446 | Shannon Medical Center | Home Health | 2030 Pulliam St, Ste 6, San Angelo, TX 76905-5157 | 2005-05-23 |
| 1285845214 | Shannon Health Sys Pharmacy Pap | Pharmacy | 2030 Pulliam St Ste 16, San Angelo, TX 76905-5170 | 2007-05-24 |
| Find all providers in zip 76905 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375749 | Cindy Kay Tschudi | Nurse Practitioner | 102 N Magdalen St Ste 110, San Angelo, TX 76903-5461 | 2020-01-13 |
| 1447728712 | Lisa Vannoy | Nurse Practitioner | 102 N Magdalen St Ste 235, San Angelo, TX 76903-5403 | 2018-11-05 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1780091652 | Toby Redden | Nurse Practitioner | 1901 Johnson Ave, San Angelo, TX 76904-5048 | 2014-07-12 |
| 1811123599 | Shelley A Gibbens | Nurse Practitioner | 1820 Sunset Dr, San Angelo, TX 76904-6823 | 2009-06-08 |
| 1659567360 | Catherine A Barnett | Nurse Practitioner | 220 E Harris, San Angelo, TX 76903 | 2007-09-18 |
| 1235191446 | Wilma Diane Alford | Nurse Practitioner | 3350 Executive Dr Ste 100, San Angelo, TX 76904-6878 | 2006-04-04 |
| 1326009739 | Jean Lynn Henrikson | Nurse Practitioner | 2133 Office Park Dr Ste A, San Angelo, TX 76904 | 2006-03-28 |
| 1346215878 | Deborah L Hagelstien | Nurse Practitioner | 3502 Knickerbocker Rd, San Angelo, TX 76904-7671 | 2006-02-20 |
| 1417569583 | Margaret M. Nunez | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2020-08-20 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76905 |
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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.