SHANDON WELLS ANDERSON (NPI# 1609349265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609349265 |
| Entity Type | Individual |
| Full Name | SHANDON WELLS ANDERSON |
| Credential | APRN-C |
| Practice Address |
2100 Baptiste Dr Paola KS 66071-1314 |
| Mailing Address |
37540 Crescent Hill Rd Osawatomie KS 66064-5181 |
| Practice Telephone | 9132942327 |
| Mailing Telephone | 9133695200 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
TMP-157777 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
78535 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2100 BAPTISTE DR |
| City | PAOLA |
| State | KS |
| Zip Code | 66071-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
| 1538669346 | Miami County Medical Center Inc. | Family Medicine | 2100 Baptiste Dr, Paola, KS 66071-1314 | 2018-02-19 |
| 1871913939 | Bkayali, LLC | Internal Medicine | 2100 Baptiste Dr, Paola, KS 66071-1314 | 2014-04-16 |
| 1447453394 | Stephen Robert Meirose | Emergency Medicine | 2100 Baptiste Dr, Paola, KS 66071-1314 | 2007-06-07 |
| 1770605776 | Anna Colleen Foxworthy | Physical Therapist | 2100 Baptiste Dr, Paola, KS 66071-1314 | 2007-04-03 |
| 1881742807 | Miami County Medical Center Inc. | Hospitalist | 2100 Baptiste Dr, Emergency Department, Paola, KS 66071-1314 | 2007-01-08 |
| 1992817571 | Tammy Joan Mize | Dietitian, Registered | 2100 Baptiste Dr, Miami County Medical Center, Paola, KS 66071 | 2006-08-31 |
| 1700824398 | Miami County Medical Center Inc | General Acute Care Hospital | 2100 Baptiste Dr, Paola, KS 66071-1314 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
| 1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
| 1114139870 | Agape, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16046 W 343rd St, Paola, KS 66071 | 2007-05-04 |
| 1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
| 1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
| 1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
| 1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
| 1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
| 1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
| 1841766219 | Helen Elizabeth Howerton | Social Worker | 25955 W 327th St, Paola, KS 66071 | 2018-10-23 |
| Find all providers in zip 66071 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508497751 | Alexandria Hames | Nurse Practitioner | 341 S Maybelle Ave, Wichita, KS 67209-1535 | 2020-01-27 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1770955049 | Leandra Monreal | Nurse Practitioner | 3405 Nw Hunters Ridge Terrace Suite 100, Sunflower Prompt Care, Topeka, KS 66618 | 2015-10-27 |
| 1801268404 | Mh Health of Kansas, Pa | Nurse Practitioner | 1225 S Hamilton Cir, C/o Olathe Employee Health Center, Olathe, KS 66061-5372 | 2015-10-22 |
| 1184037509 | Mh Health of Kansas, Pa | Nurse Practitioner | 8950 Renner Blvd, C/o Perceptive Software Health Center, Lenexa, KS 66219 | 2014-06-03 |
| 1417276791 | House Call Medical Services | Nurse Practitioner | 5721 N Athenian Ave, Wichita, KS 67204-1844 | 2010-05-25 |
| 1568407674 | Kara D Winkler | Nurse Practitioner | 9710 Rosehill Rd, Lenexa, KS 66215 | 2006-06-20 |
| 1710935721 | Florence Susan George | Nurse Practitioner | 207b E 7th St, Hays, KS 67601-4152 | 2006-05-04 |
| 1760099931 | Brenda Hough | Nurse Practitioner | 636 Tauromee Ave, Kansas City, KS 66101-3042 | 2020-09-30 |
| 1881230118 | Alan Curtis | Nurse Practitioner | 400 W 8th, Surgical Clinic, Beloit, KS 67420-0399 | 2019-11-21 |
| 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.