CHARLENE DEVYN ANDERSON (NPI# 1366040487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366040487 |
| Entity Type | Individual |
| Full Name | CHARLENE DEVYN ANDERSON |
| Credential | FNP-BC |
| Practice Address |
111 Dallas St San Antonio TX 78205-1201 |
| Mailing Address |
8631 Key North Way Converse TX 78109-3681 |
| Practice Telephone | 2102977000 |
| Mailing Telephone | 2102161554 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1015157 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003344003 | Charlene Kantack Anderson | Physical Medicine & Rehabilitation | 238 Dickenson Ave, Newbury Park, CA 91320-4326 | 2017-06-02 |
| 1497184782 | Charlene Anderson | Counselor | 211 N Whitfield St, Suite 780, Pittsburgh, PA 15206-3039 | 2013-11-06 |
| 1235408113 | Charlene H Anderson | Registered Nurse | 3111 Raymond Ct, Texas City, TX 77591-7043 | 2011-12-21 |
| 1194057752 | Charlene Anderson | Nurse Practitioner | 1221 Whipple St, Eau Claire, WI 54703 | 2010-02-08 |
| 1861666729 | Charlene Mary Anderson | Registered Nurse | 200 E Washington Ave, #100, Escondido, CA 92025-1806 | 2008-04-22 |
| 1699821587 | Charlene M Anderson | Occupational Therapist | 1717 E 15th St, Joplin, MO 64804-0907 | 2007-01-25 |
| 1750436606 | Charlene Ann Anderson | Psychologist | 208 E 7th St, High Plains Mental Health Center, Hays, KS 67601 | 2007-01-23 |
| 1730176629 | Charlene M. Anderson | Registered Nurse | 400 N 17th St, Allentown, PA 18104-5052 | 2005-10-05 |
| Street Address |
111 DALLAS ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78205-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412666 | Select Specialty Hospital - San Antonio Inc | Long Term Care Hospital | 111 Dallas St, 4th Fl, San Antonio, TX 78205-1201 | 2005-07-26 |
| 1043832777 | Briana Rochelle Garza | Occupational Therapist | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-05-15 |
| 1477182186 | Lu Ge | Pharmacist | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-04-04 |
| 1629621909 | Shawn Timothy Woodland | Occupational Therapist | 111 Dallas St, 4th Floor Building C, San Antonio, TX 78205 | 2019-07-16 |
| 1457821290 | Blanca Azucena Macias | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-12-04 |
| 1801376637 | Matthew Joseph Kraus | Occupational Therapist | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-08-21 |
| 1174002208 | Hospitalist Medicine Physicians of Texas - San Antonio, Pllc | Internal Medicine | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-08-09 |
| 1639661820 | Ashley Nicole Brown | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205 | 2018-06-04 |
| 1639689193 | Baptist Diagnostics, LLC | Clinical Medical Laboratory | 111 Dallas St, San Antonio, TX 78205-1201 | 2017-10-10 |
| 1336668524 | Debra A Vasquez Md, Pllc | Internal Medicine | 111 Dallas St, San Antonio, TX 78205-1201 | 2017-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
| 1841647138 | Karen Tanguma | Counselor | 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 | 2016-05-17 |
| 1346652500 | Lone Star Script Care LLC | Case Management | 310 S. S Mary's St, 1290, San Antonio, TX 78205 | 2014-05-22 |
| 1821227919 | Teresa Yanhong Chen | Optometrist | 175 East Houston St, Visionworks, San Antonio, TX 78205 | 2009-07-09 |
| 1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
| 1386882520 | Nicolas A. Melgarejo | Internal Medicine | 343 W. Houston St., Suite #808, San Antonio, TX 78205 | 2009-01-26 |
| 1518135904 | Khan Z Shirani | Emergency Medicine | 414 Navarro St Ste 500, San Antonio, TX 78205 | 2008-02-19 |
| 1619076700 | Candace Lynese Bellamy | Family Medicine | 221 3rd St. West, San Antonio, TX 78205 | 2006-09-22 |
| Find all providers in zip 78205 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1033719521 | Macy Atkins | Nurse Practitioner | 6676 Utsa Blvd, San Antonio, TX 78249-5100 | 2020-10-26 |
| 1801494554 | Yordanis Rafael Fonseca Vega | Nurse Practitioner | 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 | 2020-10-14 |
| 1255939237 | Ashley Elizabeth Swartz | Nurse Practitioner | 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 | 2020-10-13 |
| 1871190173 | Cynthia B Elkins | Nurse Practitioner | 24806 Terlingua Bnd, San Antonio, TX 78261-2726 | 2020-10-08 |
| 1588270623 | Amanda Razo | Nurse Practitioner | 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 | 2020-09-23 |
| 1255946935 | Norberto Hernandez Iv | Nurse Practitioner | 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 | 2020-09-10 |
| 1033723655 | Hira Mughal | Nurse Practitioner | 9850 Twinbear Crk, San Antonio, TX 78245-9596 | 2020-09-01 |
| 1366055675 | Maria Christina Cruz Tijerina | Nurse Practitioner | 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 | 2020-08-26 |
| 1225649593 | Gina M Duron | Nurse Practitioner | 10730 Green Trail Dr, San Antonio, TX 78223-4224 | 2020-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78205 |
Please comment or provide details below to improve the information on CHARLENE DEVYN 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.