KATIE L. ANDERSON (NPI# 1104195833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104195833 |
| Entity Type | Individual |
| Full Name | KATIE L. ANDERSON |
| Other Name | KATIE L SANDLIN |
| Credential | PA |
| Practice Address |
1421 Lowes Way Plainfield CT 06374-1963 |
| Practice Telephone | 8603174000 |
| Practice Fax Number | 8603174030 |
| Mailing Telephone | 8603174000 |
| Mailing Fax Number | 8603174030 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3930 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2087 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497807416 | Katie Marie Anderson | Counselor | 1740 E 17th St Steb, Idaho Falls, ID 83404 | 2007-01-18 |
| 1013518414 | Katie Rose Anderson | Nurse Practitioner | 7981 Gladiolus Dr, Fort Myers, FL 33908-4154 | 2020-11-03 |
| 1427517176 | Katie E Anderson | Social Worker | 10330 Se 32nd Ave Ste 110, Milwaukie, OR 97222-6596 | 2019-03-12 |
| 1730698861 | Katie Anderson | Physician Assistant | 75 Francis St, Boston, MA 02115 | 2017-09-20 |
| 1912422262 | Katie Anderson | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2017-08-08 |
| 1154862498 | Katie Anderson | Behavior Technician | 2120 Sw Jefferson St Ste B200, Portland, OR 97201-7727 | 2017-03-20 |
| 1114370210 | Katie Ann Anderson | Nurse Anesthetist, Certified Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2016-07-13 |
| 1760830483 | Katie Anderson | Physical Therapist | 420 Delaware St Se, Mmc 106 / Mayo B-454a, Minneapolis, MN 55455-0341 | 2016-06-03 |
| 1760720056 | Katie Lynn Anderson | Audiologist | 1055 Clermont St, Denver, CO 80220-3808 | 2013-01-22 |
| 1568714723 | Katie Anderson | Nurse Practitioner | 4005 Community Center Dr, Weston, WI 54476-4139 | 2012-10-11 |
| Street Address |
1421 LOWES WAY |
| City | PLAINFIELD |
| State | CT |
| Zip Code | 06374-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346669934 | Comprehensive Occupational Medicl Associates of Connecticut P C | Clinic/Center | 1421 Lowes Way, Plainfield, CT 06374-1963 | 2014-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720200256 | Quality Homemakers, Inc | Chore Provider | 11 Babcock Ave, Plainfield, CT 06374 | 2007-05-03 |
| 1942422803 | Karen Jean Burrington | Speech-Language Pathologist | 20 Babcock Avenue, Plainfield, CT 06374 | 2007-05-02 |
| 1730255449 | Claire Marie Warren | Family Medicine | 558 Norwich Road, Plainfield, CT 06374 | 2006-11-27 |
| 1548332604 | Anastasios Balis | Chiropractor | 6 Babcock Avenue, Plainfield, CT 06374 | 2006-11-14 |
| 1164517512 | Gregory Bruce Jack | Counselor | 50 Academy Hill Road, Plainfield, CT 06374 | 2006-10-03 |
| 1639180607 | Dana Cavicke | Family Medicine | 12 Lathrop Road, Plainfield, CT 06374 | 2006-08-11 |
| 1508875451 | Wagdy M Habashy | Internal Medicine | 31 Dow Rd, Plainfield, CT 06374 | 2006-08-07 |
| 1861456840 | Village Manor Inc Bankruptcy | Skilled Nursing Facility | 16 Windsor Avenue, Plainfield, CT 06374 | 2006-04-14 |
| 1972657351 | Amy B Chace | Social Worker | 50 Academy Hill Road, Plainfield, CT 06374 | 2007-01-22 |
| 1275609984 | John Newton Mackey | Physician Assistant | 558 Norwich Road, Plainfield, CT 06374 | 2006-11-27 |
| Find all providers in zip 06374 | ||||
| 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 |
|---|---|---|---|---|
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1750990495 | Steven Wenzel | Physician Assistant | 14903 S Hawthorn Cir, Plainfield, IL 60544-2103 | 2020-07-29 |
| 1013469246 | Adeel Kamal | Physician Assistant | 13152 Millbank Dr, Plainfield, IL 60585-5293 | 2016-11-04 |
| 1609290840 | Basma Javaid | Physician Assistant | 24706 W Champion Dr, Plainfield, IL 60585-5176 | 2014-02-07 |
| 1851730717 | Michelle Sanchez Doersam | Physician Assistant | 16519 S. Route 59, Plainfield, IL 60586 | 2013-06-24 |
| 1972886968 | Pooja Sahgal | Physician Assistant | 1847 Bradford St, Plainfield, NJ 07063-1035 | 2011-09-26 |
| 1841309069 | Kristie K Vogel | Physician Assistant | 24508 W Village Ctr Dr, Plainfield, IL 60544-1885 | 2006-08-30 |
| 1114034147 | Nancy Mogielnicki | Physician Assistant | 120 Black Hill Rd, Plainfield, NH 03781-5131 | 2006-08-24 |
| 1275056418 | Leigh Agombar | Physician Assistant | 15728 S Route 59, Plainfield, IL 60544-2693 | 2017-07-19 |
| 1649621780 | Audrey Hewitt | Physician Assistant | 1100 Southfield Dr, Suite 1240, Plainfield, IN 46168-4498 | 2016-06-30 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 06374 |
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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.