DR. ALICIA ANDERSON (NPI# 1972037323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972037323 |
| Entity Type | Individual |
| Full Name | DR. ALICIA ANDERSON |
| Credential | DVM, MPH, DIPL ACVPM |
| Practice Address |
621 Mcgruder St. Ne Atlanta GA 30312 |
| Practice Telephone | 4049362336 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 05589 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790182855 | Alicia Victoria Anderson | Occupational Therapy Assistant | 624 Palm Beach St, Tallahassee, FL 32310-5840 | 2014-12-04 |
| 1275803736 | Alicia Mary Anderson | Registered Nurse | 7 Carman Blvd, Brookhaven, NY 11719-9428 | 2011-12-30 |
| 1265067094 | Alicia Camille Anderson | Counselor | 4220 N Grand Blvd, Saint Louis, MO 63107-1831 | 2020-03-12 |
| 1982238382 | Alicia Anderson | Massage Therapist | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1245875111 | Alicia Marie Anderson | Family Medicine | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-11-14 |
| 1932671609 | Alicia Jean Anderson | Counselor | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2018-12-19 |
| 1326551599 | Alicia V Anderson | Registered Nurse | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2017-11-09 |
| 1023531274 | Alicia Marie Anderson | Licensed Practical Nurse | 25 1st Ave Ne, Buffalo, MN 55313-1568 | 2017-07-19 |
| 1568886984 | Alicia Uvette Anderson | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2014-02-05 |
| 1881016756 | Alicia Anderson | Physical Therapist | 912 S Gay St, Knoxville, TN 37902-1814 | 2014-01-13 |
| Street Address |
621 MCGRUDER ST. NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235575325 | Gerardo Julian Soracco | Military Health Care Provider | 4415 Northside Chase Nw, Atlanta, GA 30327-3567 | 2013-05-15 |
| 1790023406 | Donna Sue Muller | Military Health Care Provider | 2715 Cosmos Dr Ne, Atlanta, GA 30345-1307 | 2013-01-30 |
| 1497059612 | Xiomara Ivette Brown | Military Health Care Provider | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2011-01-03 |
| 1700876638 | Kristen Mariah Foster | Military Health Care Provider | 2525 Cumberland Parkway, Department of Internal Medicine, Atlanta, GA 30339 | 2005-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425568 | Greggory Theotis Kent | Military Health Care Provider | 223 E Grady Ave, Lyons, GA 30436-1509 | 2019-12-26 |
| 1083142947 | Integrative Cap Health Practices | Military Health Care Provider | 770 Old Roswell Pl Ste G400, Roswell, GA 30076-8635 | 2017-05-23 |
| 1508227141 | Compassion Community PCh LLC | Military Health Care Provider | 1942 Appling Harlem Rd, Appling, GA 30802-3723 | 2016-03-09 |
| 1982063749 | Mallori Tittle | Military Health Care Provider | 6254 Warm Springs Rd Apt G6, Columbus, GA 31909-9152 | 2016-02-22 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1316298144 | Sandra Diane Tyree | Military Health Care Provider | 6490 Clyattstone Rd, Hahira, GA 31632-3112 | 2012-09-19 |
| 1558643536 | Eleanor S. Lee | Military Health Care Provider | 4211 Misty Morning Way, #2319, Gainesville, GA 30506-4347 | 2011-09-15 |
| 1073754891 | James Mercer Archer | Military Health Care Provider | 2450 Ruger Dr Ne, Marietta, GA 30066-1422 | 2009-03-09 |
| 1457525727 | Adam Andrew Spencer | Military Health Care Provider | 2300 Lakeview Pkwy Ste 700, Alpharetta, GA 30009-9066 | 2008-04-17 |
| 1356510424 | Ines Gonzalez-torres | Military Health Care Provider | 422 Floyd Cir, Hinesville, GA 31313-5536 | 2008-02-22 |
| Find all providers with the same taxonomy | ||||
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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.