BRENDA L ANDERSON (NPI# 1912145467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912145467 |
| Entity Type | Individual |
| Full Name | BRENDA L ANDERSON |
| Credential | PA-C |
| Practice Address |
245 Windward Way Suite 101 Kalispell MT 59901-3133 |
| Practice Telephone | 4067568488 |
| Practice Fax Number | 4062574663 |
| Mailing Telephone | 4067568488 |
| Mailing Fax Number | 4062574663 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 1912145467 | 01 |
| MT | NCCPA | 1084172 | 01 |
| MT | 1912145467 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528027745 | Brenda Anderson | Speech-Language Pathologist | 6316 Bestview Way, Colorado Springs, CO 80918-5501 | 2006-03-17 |
| 1316408875 | Brenda Renee Anderson | Licensed Practical Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-03-27 |
| 1558849794 | Brenda Anderson | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2018-07-31 |
| 1669924403 | Brenda Anderson | Licensed Practical Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-10-27 |
| 1396151197 | Brenda Ann Anderson | Registered Nurse | 6279 E State Blvd, Fort Wayne, IN 46815-7641 | 2014-07-01 |
| 1578996005 | Brenda Ann Anderson | Counselor | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2013-08-20 |
| 1083989891 | Brenda Baxter Anderson | Pharmacist | 11100 Auto Mall Dr, Sandy, UT 84070-4171 | 2012-03-12 |
| 1619261963 | Brenda Anderson | Pharmacist | 2900 Little Rd, Trinity, FL 34655-4420 | 2011-06-03 |
| 1821244534 | Brenda J Anderson | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2008-08-13 |
| 1306965603 | Brenda Jean Anderson | Dietitian, Registered | 915 E 1st St, Duluth, MN 55805-2107 | 2007-03-28 |
| Street Address |
245 WINDWARD WAY SUITE 101 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750372637 | Karen D Heberling | Nurse Practitioner | 245 Windward Way, Suite 101, Kalispell, MT 59901-3133 | 2005-10-31 |
| 1407233059 | Stephanie Cymbal | Social Worker | 245 Windward Way, Kalispell, MT 59901-3133 | 2015-05-04 |
| 1659707313 | Alisha Renae Bailey | Physical Therapist | 245 Windward Way, Suite 101, Kalispell, MT 59901-3133 | 2013-09-25 |
| 1831458884 | Healthcenter Northwest LLC | Clinic/Center | 245 Windward Way, Suite 101, Kalispell, MT 59901-3133 | 2012-05-11 |
| 1316238397 | Justin Z Green | Acupuncturist | 245 Windward Way, Suite 101, Kalispell, MT 59901-3133 | 2011-04-26 |
| 1588968200 | Diana Stephens | Massage Therapist | 245 Windward Way, Suite 101, Kalispell, MT 59901-3133 | 2011-01-10 |
| 1811227655 | Tammitha Ann | Massage Therapist | 245 Windward Way, Kalispell, MT 59901-3133 | 2009-12-29 |
| 1033449863 | Patrick J Heil | Physical Therapist | 245 Windward Way, Kalispell, MT 59901-3133 | 2009-12-29 |
| 1841388725 | Ned Camden Kneeland | Pain Medicine | 245 Windward Way, Kalispell, MT 59901-3133 | 2006-10-10 |
| 1972522308 | Patricia Y Tygrett-sue | Family Medicine | 245 Windward Way, Suite 101, Kalispell, MT 59901-3133 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023183993 | Susan Cahill | Physician Assistant | 40 2nd St E, Suite 225, Kalispell, MT 59901-6110 | 2006-11-22 |
| 1124197595 | Jill S Thorn | Physician Assistant | 210 Sunnyview Ln Ste 105, Kalispell, MT 59901-3128 | 2006-11-07 |
| 1578518692 | Kathleen White Wilson | Physician Assistant | 75 Claremont St Ste A, Kalispell, MT 59901-3500 | 2006-05-24 |
| 1104892678 | North Valley Hospital, Inc | Physician Assistant | 195 Commons Loop Ste D, Kalispell, MT 59901 | 2006-02-24 |
| 1073164257 | Kaitlyn Rose Sterry | Physician Assistant | 2316 Us Highway 93 N, Kalispell, MT 59901-2547 | 2019-09-27 |
| 1639617376 | Greta Beil | Physician Assistant | 1035 1st Ave W, Kalispell, MT 59901-5607 | 2017-02-02 |
| 1588116586 | Erik Hulebak | Physician Assistant | 1287 Burns Way, Kalispell, MT 59901-3109 | 2016-10-26 |
| 1639628761 | Mattie Murphy | Physician Assistant | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2016-09-30 |
| 1801261573 | Ross Richard Van Brunt | Physician Assistant | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2015-12-07 |
| 1164814836 | Justin Shobe | Physician Assistant | 205 Sunnyview Ln, Kalispell, MT 59901-3120 | 2015-03-04 |
| Find all providers in KALISPELL | ||||
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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.