SHANI LEE ANDERSON


Address: 1280 Main St, Worcester, MA 01603-1801
Phone: 5087541141

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1280 MAIN ST
City WORCESTER
State MA
Zip Code 01603-1801

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City WORCESTER
Zip Code 01603

Improve Information

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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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