AMY ANDERSON (NPI# 1275642936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275642936 |
| Entity Type | Individual |
| Full Name | AMY ANDERSON |
| Credential | BA, LMP |
| Practice Address |
12506 18th St Ne Lake Stevens WA 98258 |
| Mailing Address |
11910 28th Pl Ne Lake Stevens WA 98258-9158 |
| Practice Telephone | 4253342154 |
| Practice Fax Number | 4253771880 |
| Mailing Telephone | 4252104019 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
RC00049330 | WA | Behavioral Health & Social Service Providers |
| Y | 174400000X | Specialist | MA00023037 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1407477748 | Amy Anderson | Pharmacist | 2101 Kennedy St Ne, Minneapolis, MN 55413-2606 | 2020-04-28 |
| 1639648769 | Amy J Anderson | Nurse Practitioner | 721 American Ave Ste 310, Waukesha, WI 53188-5071 | 2018-11-19 |
| 1215413570 | Amy Beth Anderson | Community Health Worker | 3735 Se Sherman St, Portland, OR 97214-5855 | 2018-07-18 |
| 1508368366 | Amy Leigh Anderson | Licensed Vocational Nurse | 150 County Road 174, Brownwood, TX 76801-0697 | 2018-03-07 |
| 1841705662 | Amy L Anderson | Case Manager/Care Coordinator | 10355 E Palmer Wasilla Hwy Ste 100, Palmer, AK 99645-8876 | 2017-12-04 |
| 1235653288 | Amy Marie Anderson | Physician Assistant | 113 Waite Avenue South #101, Centracare Clinic Convenience Care, Waite Park, MN 56387-1348 | 2017-08-01 |
| 1801249321 | Amy Anderson | Counselor | 1870 Second Baxter Xing, Fort Mill, SC 29708-6401 | 2016-07-20 |
| 1962883629 | Amy Anderson | Registered Nurse | 39870 County Road 20, Saint Peter, MN 56082-4331 | 2015-06-17 |
| 1083004675 | Amy Anderson | Dental Hygienist | 978 Michigan Ave, Coos Bay, OR 97420-3140 | 2015-02-03 |
| Street Address |
12506 18TH ST NE |
| City | LAKE STEVENS |
| State | WA |
| Zip Code | 98258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922518729 | Laura Stoller | Massage Therapist | 12506 18th St Ne, Lake Stevens, WA 98258-8145 | 2017-10-05 |
| 1265839823 | Brian Daniel Gross | Massage Therapist | 12506 18th St Ne, Lake Stevens, WA 98258-8145 | 2014-11-25 |
| 1457582603 | Crystal Johnson | Massage Therapist | 12506 18th St Ne, Lake Stevens, WA 98258 | 2009-08-06 |
| 1326279258 | Julie Anne Gross | Massage Therapist | 12506 18th St Ne, Lake Stevens, WA 98258 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349116 | Page A Thompson | Assistant Behavior Analyst | 9821 North Davies Rd, Lake Stevens, WA 98258 | 2019-05-01 |
| 1811490550 | Washington Dental Corporation PC | Dentist | 907 Frontier Circle E, Suite 110, Lake Stevens, WA 98258 | 2018-03-08 |
| 1881140499 | Tracy L. Delorm, D.d.s. Pllc | Dentist | 9514 4th St. Ne Unit 102, Lake Stevens, WA 98258 | 2016-09-01 |
| 1932587870 | Nathan Cory | Contractor | 25 95th Dr Ne #105, Lake Stevens, WA 98258 | 2015-05-12 |
| 1902249063 | Troy Slover | Family Medicine | 31 Ne Route 300 Suite 200, Belfair, WA 98258 | 2013-04-09 |
| 1154675064 | Pspd - Lake Stevens Pllc | Dentist | 9421 N. Davies Road #a, Lake Stevens, WA 98258 | 2012-10-30 |
| 1053670364 | Ashley Nicole Sherman | Massage Therapist | 9623 32nd St Se Bldg D Ste 115, Lake Stevens, WA 98258 | 2012-05-07 |
| 1326344391 | Lyman Charles Drown | Specialist/Technologist | 9514 4th Street Ne, Suite 101, Lake Stevens, WA 98258 | 2011-02-08 |
| 1942504071 | Rebekah Erin Callahan | Marriage & Family Therapist | 7304 10th St. Se #b201, Lake Stevens, WA 98258 | 2011-01-04 |
| 1376857235 | Ronald L Rhea | Massage Therapist | 7812 12th St Se, Lake Stevens, WA 98258 | 2010-08-03 |
| Find all providers in zip 98258 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003174343 | Tiffany Lynn Battenfield | Specialist | 1806 S Lake Stevens Rd, Unit A, Lake Stevens, WA 98258-7959 | 2012-04-24 |
| 1750535886 | Leah L Kuyper | Specialist | 9433 4th St Ne Ste 104, Lake Stevens, WA 98258-1653 | 2008-11-17 |
| 1497927503 | Kristy Ann Lipka | Specialist | 12506 18th Street Ne, Lake Stevens, WA 98258 | 2008-03-28 |
| 1629273008 | Jacki Loran Moon | Specialist | 10910 Lake View Dr, Lake Stevens, WA 98258-9572 | 2007-06-18 |
| 1427275684 | Lynn A. Johnson | Specialist | 12506 18th St. N.e., Ste. 4, Lake Stevens, WA 98258 | 2007-04-19 |
| 1114079787 | Ulla L Johnson | Specialist | 1903 118th Ave Ne, Lake Stevens, WA 98258-8409 | 2007-01-17 |
| 1154668309 | Rebecca Lynn Bliven Dunham | Specialist | 9633 Market Pl, #103, Lake Stevens, WA 98258-7944 | 2013-01-08 |
| 1164769618 | Ashley Lynn Tice | Specialist | 9633 Market Pl, #103, Lake Stevens, WA 98258-7944 | 2013-01-03 |
| 1356581474 | Sarah J Dixen | Specialist | 9433 4th St Ne Ste 104, Lake Stevens, WA 98258-1653 | 2009-03-02 |
| 1437395944 | Jennifer Ruth Bergquam | Specialist | 9623 32nd St Se, Lake Stevens, WA 98258 | 2009-01-05 |
| Find all providers in LAKE STEVENS | ||||
| City | LAKE STEVENS |
| Zip Code | 98258 |
Please comment or provide details below to improve the information on AMY ANDERSON.
| 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.