ANDY ANDERSON (NPI# 1588101224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588101224 |
| Entity Type | Individual |
| Full Name | ANDY ANDERSON |
| Practice Address |
2705 Nw 3rd Ter Blue Springs MO 64014 |
| Practice Telephone | 8162606728 |
| Mailing Telephone | 8162606728 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 2016041270 | MO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851564892 | Andy Lee Anderson | Radiology | 8000 W 110th St Ste 150, Overland Park, KS 66210-2382 | 2008-04-10 |
| 1649376179 | Andy Matthew Anderson | Anesthesiology | 1199 Prince Ave, Athens, GA 30606-2797 | 2006-09-15 |
| Street Address |
2705 NW 3RD TER |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| 1780931345 | Sheridan Emergency Physician Services of Missouri, Inc. | Emergency Medicine | 201 Nw R.d. Mize Rd, Blue Springs, MO 64014 | 2012-08-13 |
| Find all providers in zip 64014 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869230 | John C Kraemer | Prevention Professional | 1 University Plz # Ms 6200, Cape Girardeau, MO 63701-4710 | 2018-01-26 |
| 1154853513 | Tarik Kavazovic | Prevention Professional | 5204 Sir Bors Dr Apt 3, Saint Louis, MO 63129-1448 | 2017-04-03 |
| 1679047237 | Whitney Nelson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-17 |
| 1699249201 | Lauren Pyatt | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-16 |
| 1598244923 | Emily Thompson | Prevention Professional | 2 Merchants Dr, Hillsboro, MO 63050-5212 | 2018-08-07 |
| 1427537869 | Kimberly Ann Rodriguez | Prevention Professional | 2 Merchants Dr, Hillsboro, MO 63050-5212 | 2018-08-07 |
| 1235616301 | Ophelia Anderson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-23 |
| 1730666017 | Joyce Theard | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1518444892 | Emmanuel Eugene Mccarrell | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1285124362 | Tammy Jean Reed | Prevention Professional | 300 Health Way Dr, Potosi, MO 63664-1420 | 2018-05-15 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
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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.