KELLIE COPLIN ANDERSON (NPI# 1720216906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720216906 |
Entity Type | Individual |
Full Name | KELLIE COPLIN ANDERSON |
Credential | CRNP |
Practice Address |
401 Lowell Dr Se Ste 5 Huntsville AL 35801 |
Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
Practice Telephone | 2562651775 |
Practice Fax Number | 2562651780 |
Mailing Telephone | 2562651775 |
Mailing Fax Number | 2562651780 |
Enumeration Date | 2009-06-26 |
Last Update Date | 2018-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-083086 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 199998 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
101 Sivley Rd Sw, Huntsville, AL 358014421 | 2562654984 | 2562654987 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295939528 | Kellie Dee Anderson | Physical Therapist | 5180 N Palm Ave, # 102, Fresno, CA 93704-2229 | 2007-06-12 |
1760950166 | Kellie Anne Anderson | Counselor | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2018-11-05 |
1073005500 | Kellie Elizabeth Anderson | Counselor | 4131 University Blvd S Ste 15, Jacksonville, FL 32216-4346 | 2018-05-31 |
1912266438 | Kellie Anderson | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2012-05-04 |
1346413887 | Kellie Lynn Anderson | Case Manager/Care Coordinator | 118 N Chestnut St, Beloit, KS 67420-2742 | 2008-04-04 |
1972637445 | Kellie Mack Anderson | Marriage & Family Therapist | 18302 Irvine Blvd, Ste. 300, Tustin, CA 92780-3435 | 2007-03-15 |
Street Address |
401 LOWELL DR SE STE 5 |
City | HUNTSVILLE |
State | AL |
Zip Code | 35801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
Find all providers in zip 35801 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831722289 | Tiffany Garrett | Nurse Practitioner | 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 | 2020-02-13 |
1386984474 | Steadman Lee Mcpeters | Nurse Practitioner | 813 Franklin St., Ste B, Huntsville, AL 35801-4311 | 2013-02-26 |
1609070424 | Elizabeth Anne Wessel | Nurse Practitioner | 2006 Franklin St Se Ste 107, Huntsville, AL 35801-4537 | 2007-06-14 |
1972104479 | Elizabeth Rose Gray | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2020-11-03 |
1912518861 | Tyler Joe Fadorsen | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-13 |
1023652625 | Maura Owens Galvez | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2019-11-06 |
1053954958 | Natalie Burleson | Nurse Practitioner | 813 Franklin St Se, Huntsville, AL 35801-4311 | 2019-10-23 |
1205489986 | Jessica Stroud | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-07-22 |
1801456470 | Haley Briana Smith | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2019-06-17 |
1407333644 | Lauren Abbe Gulledge | Nurse Practitioner | 502 Governors Dr Sw, Huntsville, AL 35801-5126 | 2018-07-20 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35801 |
Please comment or provide details below to improve the information on KELLIE COPLIN ANDERSON.
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.