SHANI LEE ANDERSON (NPI# 1811474596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811474596 |
Entity Type | Individual |
Full Name | SHANI LEE ANDERSON |
Credential | NP, RN |
Practice Address |
1280 Main St Worcester MA 01603-1801 |
Practice Telephone | 5087541141 |
Mailing Telephone | 5087541141 |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2270119 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1280 MAIN ST |
City | WORCESTER |
State | MA |
Zip Code | 01603-1801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356950794 | Luke Allan Gustavson | Counselor | 1280 Main St, Worcester, MA 01603-1861 | 2020-07-30 |
1598307761 | Noelia Rivera | Counselor | 1280 Main St, Worcester, MA 01603 | 2019-10-09 |
1467003012 | Lindsey M Fox | Counselor | 1280 Main St, Worcester, MA 01603-1861 | 2019-09-25 |
1285294223 | Venessa Wiafe | Counselor | 1280 Main St, Worcester, MA 01603-1861 | 2019-06-20 |
1770057598 | Andrea Rene Culross | Counselor | 1280 Main St, Worcester, MA 01603-1801 | 2019-01-15 |
1578035085 | Erin Kasey Goulet | Counselor | 1280 Main St, Worcester, MA 01603-1801 | 2018-12-21 |
1386114593 | Nicole Ianiro | Social Worker | 1280 Main St, Worcester, MA 01603-1801 | 2018-11-30 |
1669942306 | John Daley | Counselor | 1280 Main St, Worcester, MA 01603-1801 | 2018-11-26 |
1710452388 | Flor Colon | Counselor | 1280 Main St, Worcester, MA 01603-1801 | 2018-10-09 |
1942784863 | Allison Shea | Counselor | 1280 Main St, Worcester, MA 01603-1801 | 2018-09-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134783228 | Drx Uc Worcester PC | Family Medicine | 117 A Stafford St, Worcester, MA 01603 | 2019-04-24 |
1487165072 | Heather B Mandeville | Counselor | 70 James St., Suite #270, Worcester, MA 01603 | 2017-10-23 |
1952812059 | Jeffrey S Jones II | Social Worker | 70 James St Ste 270, Worcester, MA 01603 | 2017-10-16 |
1497275796 | Ardent Companion Homecare LLC | Home Health | 93 Stafford Street, Suite 202, Worcester, MA 01603 | 2017-06-27 |
1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
1023562048 | Isha Sood | Dentist | Dental Dreams, 68 Stafford Street, Worcester, MA 01603 | 2016-08-08 |
1316395742 | Brandie Casassa | Counselor | 55 Seminole Drive, Worcester, MA 01603 | 2016-05-26 |
1760854699 | Accurate Health Care LLC | Custodial Care Facility | One Corporate Square, Hartford, CT 01603 | 2015-10-30 |
1093124182 | Taylor Pearson | Counselor | 24 Alsada Drive, Worcester, MA 01603 | 2014-08-04 |
1861732158 | Christiana Acheampong | Student in an Organized Health Care Education/Training Program | 540 Park Avenue, Worcester, MA 01603 | 2013-02-22 |
Find all providers in zip 01603 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
1871110221 | Jillian Bradley | Nurse Practitioner | 507 Plantation St Apt 519, Worcester, MA 01605-4326 | 2020-07-01 |
1407393010 | John Job | Nurse Practitioner | 130 Lincoln St Ste 6, Worcester, MA 01605-2430 | 2017-01-21 |
1457701807 | Jee Yeah Park | Nurse Practitioner | 162 Chandler Street, Worcester, MA 01609-2924 | 2016-06-16 |
1174137434 | Grace Njeri Ngumi | Nurse Practitioner | 30 Park Ave, Worcester, MA 01605-3945 | 2020-09-03 |
1518578426 | Aldona Angele Vainius | Nurse Practitioner | 255 Park Ave Ste 804, Worcester, MA 01609-1984 | 2020-08-13 |
1518505973 | Jessica Lynn Weissman | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-12-17 |
1063970234 | Edith N/a Claros | Nurse Practitioner | 19 Tacoma St, Worcester, MA 01605-3516 | 2019-03-06 |
1639633530 | Yui Kitayama | Nurse Practitioner | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-01-24 |
1710469549 | Kevin Phillipp Nardone | Nurse Practitioner | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2018-08-29 |
Find all providers in WORCESTER |
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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.