MRS. KISHA TAMARA ANDERSON (NPI# 1003881103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003881103 |
| Entity Type | Individual |
| Full Name | MRS. KISHA TAMARA ANDERSON |
| Credential | APN |
| Practice Address |
151 Washington St Newark NJ 07102-3026 |
| Mailing Address |
312 Stuyvesant Ave Newark NJ 07106-3637 |
| Practice Telephone | 9736223900 |
| Practice Fax Number | 9736221698 |
| Mailing Telephone | 9733995265 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2011-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
26NN11131200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386446 | Kisha Anderson | Counselor | 4645 Wyndham Ln, Ste 140, Frisco, TX 75033-0004 | 2017-03-07 |
| Street Address |
151 WASHINGTON ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447641691 | Julianna Pennucci | Physician Assistant | 151 Washington St, Newark, NJ 07102-3026 | 2015-02-10 |
| 1013223593 | Sabitri Nesbitt | Nurse Practitioner | 151 Washington St, Newark, NJ 07102-3026 | 2010-08-23 |
| 1093952335 | Planned Parenthood of Metroplitan Nj, Inc. | Clinic/Center | 151 Washington St, Newark, NJ 07102-3026 | 2009-01-08 |
| 1285803403 | Barbara Podinker | Nurse Practitioner | 151 Washington St, Newark, NJ 07102-3026 | 2008-02-21 |
| 1669650586 | Lori Marino | Physician Assistant | 151 Washington St, Newark, NJ 07102-3026 | 2008-02-01 |
| 1700816360 | Rhonda R Nichols | Obstetrics & Gynecology | 151 Washington St, Newark, NJ 07102-3026 | 2006-07-03 |
| 1528002193 | Aneekah G Simmons | Family Medicine | 151 Washington St, Newark, NJ 07102-3026 | 2006-06-15 |
| 1871560748 | Bonnie Lee Probert | Nurse Practitioner | 151 Washington St, Newark, NJ 07102-3026 | 2006-03-01 |
| 1841265675 | Nancy Louis | Physician Assistant | 151 Washington St, Newark, NJ 07102-3026 | 2006-02-23 |
| 1447225545 | Mary Sessa | Nurse Practitioner | 151 Washington St, Newark, NJ 07102-3026 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1649776709 | Samantha Nicole Anderson | Nurse Practitioner | 240 Mulberry St, Newark, NJ 07102-3528 | 2018-04-05 |
| 1659881530 | Kelly Nichols | Nurse Practitioner | 140 E Delaware Ave, Newark, DE 19711-4605 | 2017-10-05 |
| 1588188528 | Lauren Rainey | Nurse Practitioner | 4745 Ogletown Stanton Rd Ste 111, Newark, DE 19713-2070 | 2017-08-01 |
| 1477735363 | Gail N Dunn | Nurse Practitioner | University of Delaware, Student Health Services, Newark, DE 19717 | 2007-12-03 |
| 1871611806 | Elaine Marie Ramey | Nurse Practitioner | 155 Mcmillen Dr, Newark, OH 43055-1810 | 2007-03-27 |
| 1699265405 | Carolyn Rose St Hilaire | Nurse Practitioner | 240 Mulberry St, Newark, NJ 07102-3528 | 2018-05-16 |
| 1588182430 | Amanda W. Mcclelland | Nurse Practitioner | 100 Mcmillen Dr, Newark, OH 43055-1809 | 2017-08-30 |
| 1730622044 | Aileen Mcelhaney | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2016-11-18 |
| 1336467539 | Belinda Luce Smith | Nurse Practitioner | 155 Jefferson St, 3rd Floor-newark Community Health Centers, Inc., Newark, NJ 07105-1706 | 2010-05-12 |
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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.