DR. CASEY L ANDERSON (NPI# 1558617464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558617464 |
| Entity Type | Individual |
| Full Name | DR. CASEY L ANDERSON |
| Credential | M.D. |
| Practice Address |
415 E Southlake Blvd Ste 101 Southlake TX 76092-6279 |
| Mailing Address |
910 Madison Ave Room 315 Memphis TN 38163 |
| Practice Telephone | 8174168080 |
| Practice Fax Number | 8174218327 |
| Mailing Telephone | 9014481350 |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 920 Madison Ave, Suite 447, Memphis, TN 38163 | 9014481350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174862478 | Casey Lynn Anderson | Counselor | 1750 E Fairmount Ave Fl 2, Baltimore, MD 21231-1534 | 2013-02-06 |
| 1215553185 | Casey Lynn Anderson | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-06-17 |
| 1538721170 | Casey Marie Anderson | Social Worker | 802 Baltimore Pike, Bel Air, MD 21014-4212 | 2019-07-03 |
| 1518422336 | Casey M Anderson | Physical Therapist | 5121 Cottonwood St, Acute Care Physical Therapy, Murray, UT 84107 | 2019-02-06 |
| 1063905784 | Casey Alan Anderson | Pharmacist | 507 Chestnut St, Atlantic, IA 50022-1260 | 2018-06-07 |
| 1619407764 | Casey Anderson | Pharmacist | 287 Healthwest Dr, Dothan, AL 36303-2031 | 2017-06-12 |
| 1831646512 | Casey L Anderson | Nurse Practitioner | 5 S Walnut St, Oakland, IL 61943-7153 | 2016-09-09 |
| 1740639970 | Casey Anderson | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2016-06-08 |
| 1407284854 | Casey Leigh Anderson | Nurse Practitioner | 500 College Ave, Swarthmore, PA 19081-1306 | 2013-10-23 |
| 1447553656 | Casey Anderson | Social Worker | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2010-12-09 |
| Street Address |
415 E SOUTHLAKE BLVD STE 101 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487272878 | Molly Schlamp | Student in an Organized Health Care Education/Training Program | 200 Stockton Dr, Southlake, TX 76092-2224 | 2020-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688930 | Kourtney Tapnio | Student in an Organized Health Care Education/Training Program | 8215 Summer Breeze Ln, Rosenberg, TX 77469-1846 | 2020-10-27 |
| 1932708666 | Candice Carriere | Student in an Organized Health Care Education/Training Program | 211 Terrace Creek Ct, Richmond, TX 77406-3590 | 2020-10-23 |
| 1922607373 | Benjamin Allen Barrett | Student in an Organized Health Care Education/Training Program | 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 | 2020-10-17 |
| 1538766597 | Billy Derek Huddleston | Student in an Organized Health Care Education/Training Program | 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 | 2020-10-02 |
| 1669089157 | Jacob Dainel Frost | Student in an Organized Health Care Education/Training Program | 1207 N Saint James Rd, Pilot Point, TX 76258-2715 | 2020-09-28 |
| 1821605569 | Madison Bettis | Student in an Organized Health Care Education/Training Program | 16609 Green Maze Ln, Helotes, TX 78023-3441 | 2020-09-27 |
| 1659987899 | Chinwe Nwakaego Dike | Student in an Organized Health Care Education/Training Program | 8023 Bueller Pass Ln, Richmond, TX 77407-1824 | 2020-09-22 |
| 1760098271 | Danielle Mortimer | Student in an Organized Health Care Education/Training Program | 1340 Prudential Dr Ste A, Dallas, TX 75235-4115 | 2020-09-20 |
| 1467067462 | Sami Al-aya | Student in an Organized Health Care Education/Training Program | 7114 Lyons Rd, Garland, TX 75043-6633 | 2020-09-15 |
| 1912512005 | Courtney Yates | Student in an Organized Health Care Education/Training Program | 2920 Northlake Cv, Tyler, TX 75703-7033 | 2020-09-15 |
| 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.