TERESA J ANDERSON (NPI# 1417295916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417295916 |
| Entity Type | Individual |
| Full Name | TERESA J ANDERSON |
| Credential | RD LD CDE |
| Practice Address |
6701 Jefferson St Ne Albuquerque NM 87109-4318 |
| Practice Telephone | 5057276200 |
| Practice Fax Number | 5057279590 |
| Mailing Telephone | 5057276200 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
466 | NM | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 56808879 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831648468 | Teresa Anderson | Counselor | 1414 Steam Engine Way Ne, Conyers, GA 30013-1594 | 2016-09-23 |
| 1649668468 | Teresa Anderson | Occupational Therapy Assistant | 807 Arkansas Rd, Williamsburg, KS 66095-8005 | 2014-12-31 |
| 1982020392 | Teresa Lynn Anderson | Registered Nurse | 472 Chalan San Antonio Pemar Place, C/o: Marianas Physician Group, Tamuning, GU 96913 | 2014-03-10 |
| 1215205091 | Teresa Anderson | Physician Assistant | 1200 S Diamond Bar Blvd Ste 201, Diamond Bar, CA 91765-2298 | 2011-12-07 |
| 1891925293 | Teresa M Anderson | Counselor | 1728 Central Ave Ste 14, Fort Dodge, IA 50501-4200 | 2009-07-20 |
| 1982876439 | Teresa Anderson | Hearing Instrument Specialist | 105 Mcmillan Rd, West Monroe, LA 71291-5353 | 2008-03-25 |
| 1083779433 | Teresa Jane Anderson | Physical Therapist | 9509 48th Ave Ne, Seattle, WA 98115-2623 | 2006-12-26 |
| 1861560617 | Teresa Loree Anderson | Specialist | 1280 S Main St, Grapevine, TX 76051-7524 | 2006-12-01 |
| 1285009753 | Teresa Anderson | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2015-12-09 |
| 1639561129 | Teresa Lynne Anderson | Counselor | 722 N Main St, Suite 8, Spearfish, SD 57783-2165 | 2015-02-20 |
| Street Address |
6701 JEFFERSON ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676262 | Karla Kay Giese | Internal Medicine | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2005-08-19 |
| 1528559796 | Nicole Knowlton Nunez | Nurse Practitioner | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2018-05-23 |
| 1922506294 | Mohammad S Islam | Physician Assistant | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2018-01-31 |
| 1215461009 | Kelsea Buettner | Nurse Practitioner | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2017-04-18 |
| 1639598972 | Tomy Yojan Perez | Urology | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2014-04-15 |
| 1669819322 | Andrew W Clarkinson | Family Medicine | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2013-06-03 |
| 1689924698 | Leslie Nicole Heggen | Physician Assistant | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2012-09-17 |
| 1811243462 | Jerome Wayne Baca | Physician Assistant | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2012-08-01 |
| 1508142050 | Lisa Khalil Ereifej | Internal Medicine | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2011-10-28 |
| 1700189479 | Lucus William Enslin | Nurse Practitioner | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2010-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962628156 | Brenda A Broussard | Dietitian, Registered | Presbyterian Family Practice Medical Group, 3901 Atrisco, Albuquerque, NM 87120 | 2007-04-17 |
| 1205098837 | Colleen M Seeley | Dietitian, Registered | 1719 Girard Blvd Ne, Albuquerque, NM 87106-1718 | 2008-06-25 |
| 1508893231 | Elaine S. Reyes | Dietitian, Registered | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-06-27 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on TERESA J 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.