MS. CONDRA M ANDERSON


Address: 26136 Us Highway 59, Fairfax, MO 64446-8155
Phone: 6606862211

MS. CONDRA M ANDERSON (NPI# 1568579860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568579860
Entity Type Individual
Full Name MS. CONDRA M ANDERSON
Credential FNP
Practice Address 26136 Us Highway 59
Fairfax
MO 64446-8155
Mailing Address 1806 N Alco Ave
Maryville
MO 64468-3818
Practice Telephone 6606862211
Practice Fax Number 6606862618
Mailing Telephone 6605828807
Enumeration Date 2006-08-23
Last Update Date 2010-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 056910 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO COMMUNITY HEALTH PLAN 10001788900 01
MO 429057508 05
MO 540492501 05

Office Location

Street Address 26136 US HIGHWAY 59
City FAIRFAX
State MO
Zip Code 64446-8155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336118397 Community Hospital Association Home Health 26136 Us Highway 59, Fairfax, MO 64446-8155 2006-03-14
1710530654 Elizabeth Renshaw Nurse Practitioner 26136 Us Highway 59, Fairfax, MO 64446-9105 2019-07-19
1972061612 Aaron Dean Glenn Nurse Practitioner 26136 Us Highway 59, Fairfax, MO 64446-9105 2019-03-12
1063928307 Kelsi Holthus Occupational Therapist 26136 Us Highway 59, Fairfax, MO 64446-9105 2017-12-22
1982016754 Kelly Osborn Nurse Anesthetist, Certified Registered 26136 Us Highway 59, Fairfax, MO 64446-9105 2014-05-28
1023448164 Rebecca Heits Nurse Practitioner 26136 Us Highway 59, Fairfax, MO 64446-9105 2013-11-26
1144650938 Diagnostic Radiology PC Vein Clinic Radiology 26136 Us Highway 59, Fairfax, MO 64446-9105 2013-11-15
1942638705 Harold Ray Lawrence Pharmacist 26136 Us Highway 59, Fairfax, MO 64446-9105 2013-10-14
1184063224 Lindsay Williams Family Medicine 26136 Us Highway 59, Fairfax, MO 64446-9105 2013-06-21
1245505585 Katrina Renee Lock Nurse Practitioner 26136 Us Highway 59, Fairfax, MO 64446 2012-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639204878 Janet L Hunter Speech-Language Pathologist 200 Sixth St., Box 230, Fairfax, MO 64446 2007-02-21
1811518939 Bentley Enterprises, LLC Home Health 100 East Main, Fairfax, MO 64446 2020-04-29
1821165325 Oxy-med, Inc. Durable Medical Equipment & Medical Supplies 26146 Us Hwy 59, Fairfax, MO 64446-0237 2006-11-29
1205254216 Theresa Lee Crawford Nurse Practitioner 26136 Hwy 59, Fairfax, MO 64446-0446 2014-04-07
1750612271 Tracy Lynn Oswald Physical Therapy Assistant 405 E Main St, Fairfax, MO 64446-8155 2010-01-22
1699001529 Karla Mae Worley Physical Therapy Assistant 405 E Main St, Fairfax, MO 64446-8155 2009-10-28
1790975605 Yolanda Martinez Ackerman Occupational Therapist 405 E Main St, Fairfax, MO 64446-8155 2007-07-26
1144380510 Allison Godchaux Nurse Practitioner 405 E Main St, Fairfax, MO 64446-8155 2006-12-08
1134275258 Fairfax R-3 School District Local Education Agency (LEA) 500 E Main St, Fairfax, MO 64446-9131 2007-01-25
1205925518 David Leon Scarbrough Dentist 503 N Broadway St, Fairfax, MO 64446-9226 2006-10-12
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679187108 Jolene M. Mcadam Nurse Practitioner 536 Meadow Oak Cir, Fairfax, IA 52228-4709 2020-09-02
1356968820 Elizabeth Laura Gibbemeyer Nurse Practitioner 4209 Ridge Top Rd Apt 410, Fairfax, VA 22030-1120 2020-07-01
1932734274 Elena Wornom Nurse Practitioner 3620 Joseph Siewick Dr Ste 100, Fairfax, VA 22033-1757 2020-03-06
1790327583 Roula Saleem Dandalides Nurse Practitioner 8503 Arlington Blvd # V, Fairfax, VA 22031-4628 2019-10-13
1083124325 Lu Lucy Wei Nurse Practitioner 2700 Prosperity Ave Ste 280, Fairfax, VA 22031-4340 2017-09-30
1700020286 Suzanne Bailey Molloy Nurse Practitioner 4400 University Drive, Msn-2d3 George Mason University Student Health Services, Fairfax, VA 22030 2009-04-28
1518112697 Amberly Michelle Dunn Nurse Practitioner 10390 Democracy Lane, Fairfax, VA 22030 2008-11-17
1205842432 Katherine Niknia Nurse Practitioner Inova Schar Cancer Institute, 8081 Innovation Park Dr, Fairfax, VA 22031 2006-07-31
1508824699 Susan R Waterbury Nurse Practitioner 11212 Waples Mill Rd, Suite 100, Fairfax, VA 22030 2006-05-01
1457960528 Julie Littlejohn Nurse Practitioner 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2020-07-24
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Competitor

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City FAIRFAX
Zip Code 64446

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Dataset Information

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.

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