ANTHONY ALAN ANDERSON (NPI# 1548723356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548723356 |
| Entity Type | Individual |
| Full Name | ANTHONY ALAN ANDERSON |
| Practice Address |
55 Bluff Lake Rd Mascotte FL 34753-9536 |
| Mailing Address |
15508 Willet Ct Mascotte FL 34753-9102 |
| Practice Telephone | 3524606093 |
| Practice Fax Number | 3523660230 |
| Mailing Telephone | 5234606093 |
| Mailing Fax Number | 3523660230 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 022905700 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022905700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619427374 | Anthony Jamaal Anderson | Specialist | 295 Debuys Rd, Gulfport, MS 39507-2800 | 2016-10-06 |
| 1508021726 | Anthony J Anderson | Family Medicine | 1501 Hiland Ave Ste A, Burley, ID 83318-2682 | 2008-07-28 |
| 1679524094 | Anthony Anderson | Anesthesiology | 1479a U.S. Highway 61, Festus, MO 63028-4123 | 2006-05-12 |
| 1760445514 | Anthony Shane Anderson | Internal Medicine | 1515 W Cornwallis Dr, Suite G103, Greensboro, NC 27408-6338 | 2006-04-11 |
| 1508466491 | Anthony Anderson | Pharmacist | 1140 E Stuart Dr, Galax, VA 24333-2630 | 2020-10-29 |
| 1073139663 | Anthony Anderson | Pharmacist | 2110 Stringtown Rd, Grove City, OH 43123-2931 | 2020-06-19 |
| 1710515986 | Anthony Davis Anderson | Pharmacist | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-04-01 |
| 1427539774 | Anthony Anderson | Occupational Therapy Assistant | 5598 8th St W Unit 3, Lehigh Acres, FL 33971-6341 | 2018-08-24 |
| 1104314996 | Anthony Anderson | Community/Behavioral Health | 2882 Cricket Ln, Willoughby Hills, OH 44092-1412 | 2018-04-26 |
| 1780011015 | Anthony E Anderson | Counselor | 5209 W. Wendover Ave, High Point, NC 27265-9177 | 2013-10-01 |
| Street Address |
55 BLUFF LAKE RD |
| City | MASCOTTE |
| State | FL |
| Zip Code | 34753-9536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982036133 | Life Change Outreach Organization, Inc | Home Health | 55 Bluff Lake Rd, Suite A, Mascotte, FL 34753-9501 | 2013-07-30 |
| 1386107100 | Redefining Abilities LLC | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336347426 | Takita's Helping Hand | Day Training, Developmentally Disabled Services | 255 Boca Ciega Rd, Mascotte, FL 34753 | 2007-07-10 |
| 1871070920 | Justo Nual Perez | Registered Nurse | 16 Lake Jackson Dr, Mascotte, FL 34753-8806 | 2018-07-22 |
| 1285863589 | Andrea Geraldine Delph | Occupational Therapist | 5136 Pine Needle Dr, Mascotte, FL 34753-8867 | 2009-07-08 |
| 1700134715 | Nabuchi Grace Anderson | Counselor | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2012-08-22 |
| 1538614540 | Grace's Support Services, LLC | Case Manager/Care Coordinator | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2016-08-19 |
| 1225401912 | Life Change Outreach Organization, Inc | Home Health | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2015-11-04 |
| 1992057723 | Life Change Outreach Organization | Case Manager/Care Coordinator | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2012-10-03 |
| 1114479367 | Jamie Small | Behavior Technician | 301 Boca Ciega Rd, Mascotte, FL 34753-9224 | 2016-11-03 |
| 1174825210 | Lazina Johannah Thomas | Case Manager/Care Coordinator | 315 Carol St, Mascotte, FL 34753-9253 | 2010-11-22 |
| 1619535655 | Antonio Norat Jr. | Driver | 16033 Worthington Blvd N, Mascotte, FL 34753-9613 | 2019-06-04 |
| Find all providers in zip 34753 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174825210 | Lazina Johannah Thomas | Case Manager/Care Coordinator | 315 Carol St, Mascotte, FL 34753-9253 | 2010-11-22 |
| 1386107100 | Redefining Abilities LLC | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
| 1538614540 | Grace's Support Services, LLC | Case Manager/Care Coordinator | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2016-08-19 |
| 1992057723 | Life Change Outreach Organization | Case Manager/Care Coordinator | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1316547615 | Kyomi Santana | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-10-27 |
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1891394409 | Ariadna Cannet | Case Manager/Care Coordinator | 27583 Sw 143rd Ct, Homestead, FL 33032-8871 | 2020-10-23 |
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1326646985 | Lewis Connects | Case Manager/Care Coordinator | 885 Hickory Ave, Orange City, FL 32763-6864 | 2020-10-15 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1548867831 | Jessica Bickman | Case Manager/Care Coordinator | 1026 Replica Ave, Sebring, FL 33872-2720 | 2020-10-08 |
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1679180392 | Astrid C Montesinos Franco | Case Manager/Care Coordinator | 7656 Nw 5th St Apt 4f, Plantation, FL 33324-1940 | 2020-09-27 |
| Find all providers with the same taxonomy | ||||
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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.