MR. KEITH ERIK ANDERSON


Address: 550 Munson Ave, Traverse City, MI 49686
Phone: 2319352686

MR. KEITH ERIK ANDERSON (NPI# 1891729398) 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) 1891729398
Entity Type Individual
Full Name MR. KEITH ERIK ANDERSON
Credential RN, NP
Practice Address 550 Munson Ave
Traverse City
MI 49686
Mailing Address 2513 Momentum Place
Chicago
IL 60689-0001
Practice Telephone 2319352686
Practice Fax Number 2319352687
Mailing Telephone 2319356080
Mailing Fax Number 2319356081
Enumeration Date 2006-07-10
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 491898 CA Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704318195 MI Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
10439 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11234 Anderson St Rm 7002, Loma Linda, CA 923542804 9095588631 9095580696

Other Providers KEITH ANDERSON

NPI Name Taxonomy Address Enumeration
1144579343 Keith Alan Anderson Chiropractor 208 S Burlington Ave Ste 114, Hastings, NE 68901-5950 2012-09-04
1174654917 Keith John Anderson Psychologist 110 8th St., Troy, NY 12180 2007-03-07
1790245611 Keith Anderson Jr. Student in an Organized Health Care Education/Training Program 509 Biltmore Ave, Asheville, NC 28801-4601 2019-03-25
1275035503 Keith Francis Anderson Jr. Speech-Language Pathologist 180 W 80th St, New York, NY 10024-6378 2018-03-02
1578072948 Keith Michael Anderson Social Worker 608 Wright Ave, Alma, MI 48801-1617 2017-09-28
1295196566 Keith Anderson Student in an Organized Health Care Education/Training Program 3302 Gaston Ave, Dallas, TX 75246-2013 2016-03-15
1891039814 Keith Erwin Anderson Social Worker 3600 Broadway, Suite 19, West Palm Beach, FL 33407-4844 2012-11-15
1902185051 Keith Richard Anderson Podiatrist 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 2011-08-08
1982863312 Keith A Anderson Counselor 403 E Madison St, South Bend, IN 46617-2322 2008-06-02
1174652606 Keith Alan Anderson Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2007-03-02

Office Location

Street Address 550 MUNSON AVE
City TRAVERSE CITY
State MI
Zip Code 49686

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205839131 William H. George Internal Medicine 550 Munson Ave, Traverse City, MI 49686 2005-05-24
1265054936 Erynne Louise Russell Speech-Language Pathologist 550 Munson Ave, Traverse City, MI 49686-3580 2020-05-15
1821624545 Susan Carol Spencer Speech-Language Pathologist 550 Munson Ave, Traverse City, MI 49686-3580 2020-03-13
1346807617 Mary Priestly Physician Assistant 550 Munson Ave, Traverse City, MI 49686-3580 2019-05-22
1194380493 Kimberly A Chandler Health Educator 550 Munson Ave, Traverse City, MI 49686-3580 2019-05-02
1942770946 Caroline Kiley Physical Therapist 550 Munson Ave, Traverse City, MI 49686-3580 2018-12-03
1851861850 Grace Blankenhagen Physical Therapist 550 Munson Ave, Traverse City, MI 49686-3580 2018-12-03
1316429863 Elizabeth Marie Teklinski Counselor 550 Munson Ave, Traverse City, MI 49686-3580 2018-08-31
1326544230 Kaitlyn Troutman Nurse Practitioner 550 Munson Ave, Traverse City, MI 49686-3580 2018-04-02
1598267254 Teresa Lynn Hearne Physical Therapist 550 Munson Ave, Traverse City, MI 49686-3580 2018-03-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245877208 Jessica Marie Glowacki Behavior Technician 935 Hemlock St, Traverse City, MI 49686 2019-12-09
1568011542 Joanne Kressley Technician 1693 Maylane Apt. 104, Traverse City, MI 49686 2019-09-11
1194283846 Pace North PACE Provider Organization 2325 Garfield Road N., Traverse City, MI 49686 2019-03-12
1245749225 Margaret Anne Goss Speech-Language Pathologist 1105 E. Eighth Street, Traverse City, MI 49686 2017-09-22
1467981811 Joan Joyce Shirilla Social Worker 2124 Twin Eagles Dr, Traverse City, MI 49686 2017-06-08
1770028763 Rehab and Mobility Systems, LLC Durable Medical Equipment & Medical Supplies 707 Parsons, Traverse City, MI 49686 2016-12-29
1629511316 Kaitlyn Grangood Social Worker 415 Munson Avenue, Ste 101, Traverse City, MI 49686 2016-11-29
1811441132 Jeffrey D Goodwin Counselor 430 Fair St., Traverse City, MI 49686 2016-08-04
1053779918 Thomas Osborne Counselor 2014 Phelps Rd., Traverse City, MI 49686 2016-02-08
1982079588 Marsha Lynne Dallas Counselor 2240 South Airport Road, Traverse City, MI 49686 2015-12-08
Find all providers in zip 49686

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316464019 Ali Razak Salman Saheb Nurse Practitioner 9711 E Walters Dr, Traverse City, MI 49684-7611 2017-08-24
1649345463 Patricia Anne Friedli Nurse Practitioner 2600 Lafranier Rd Ste A, Traverse City, MI 49686-4765 2006-11-21
1679556724 Lynn Redden Shattuck Nurse Practitioner 2828 Concord St, Traverse City, MI 49684-4618 2005-11-22
1164085007 Julie Krauth Nurse Practitioner 4020 Copper Vw Ste 104, Traverse City, MI 49684-7041 2019-04-16
1023501699 Jessica Mastbergen Nurse Practitioner 1221 Sixth St Ste 208, Traverse City, MI 49684-2360 2018-06-08
1326544230 Kaitlyn Troutman Nurse Practitioner 550 Munson Ave, Traverse City, MI 49686-3580 2018-04-02
1730550559 Nichole Kelenske Nurse Practitioner 10850 E Traverse Hwy, Suite 4400, Traverse City, MI 49684-1364 2015-10-20
1255702999 Melissa Schaub Nurse Practitioner 10850 E Traverse Hwy, Suite 4400, Traverse City, MI 49684-1364 2015-10-07
1245522994 Alison Balmer Quiring Nurse Practitioner 1221 Sixth St Ste 208, Traverse City, MI 49684-2360 2011-05-12
1316278765 Dorothy Catherine Low Nurse Practitioner 2585 Lafranier Rd, Traverse City, MI 49686-8972 2010-01-25
Find all providers in TRAVERSE CITY

Competitor

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City TRAVERSE CITY
Zip Code 49686

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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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