KATHLEEN ANDERSEN (NPI# 1578742375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578742375 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANDERSEN |
| Credential | PAC |
| Practice Address |
11711 Livingston Rd Fort Washington MD 20744-5151 |
| Mailing Address |
8186 Lark Brown Rd Ste 201 Elkridge MD 21075-6434 |
| Practice Telephone | 3012032250 |
| Mailing Telephone | 3012032250 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053150 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881747962 | Kathleen Marie Andersen | Optometrist | 22312 El Paseo, Suite D, Rancho Santa Margarita, CA 92688-5806 | 2007-01-19 |
| 1790157295 | Kathleen Elizabeth Andersen | Registered Nurse | 10101 E Thompson Peak Pkwy, Scottsdale, AZ 85255-3300 | 2015-10-22 |
| 1306097464 | Kathleen Elizabeth Andersen | Anesthesiologist Assistant | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2008-10-08 |
| 1639205966 | Kathleen Lisa Andersen | Psychiatry & Neurology | 4026 Ne 55th St, # E 251, Seattle, WA 98105 | 2007-02-23 |
| 1316958200 | Kathleen Marie Andersen | Occupational Therapist | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2006-08-10 |
| 1114946829 | Kathleen Tigue Andersen | Nurse Practitioner | 4512 Kirkwood Highway, Suite 202, Wilmington, DE 19808 | 2006-07-19 |
| 1679570899 | Kathleen Andersen | Family Medicine | 555 Petaluma Ave, #a, Sebastopol, CA 95472-4224 | 2005-07-01 |
| Street Address |
11711 LIVINGSTON RD |
| City | FORT WASHINGTON |
| State | MD |
| Zip Code | 20744-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447070 | Amir Mirzaalikhani | Internal Medicine | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2005-06-17 |
| 1538786694 | Amy Willis | Dietitian, Registered | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2020-07-06 |
| 1174042964 | Toni Davison Morrow | Physician Assistant | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2017-09-13 |
| 1891159869 | Syed Haris Ahmed Pir | Internal Medicine | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2016-04-06 |
| 1699164970 | Mdics At Fort Washington, LLC | Hospitalist | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2015-01-09 |
| 1124423231 | Sarah White | Physician Assistant | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2014-10-31 |
| 1205268893 | Behavioral Health Navigators Center | Social Worker | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2013-08-06 |
| 1083965685 | Michelle Leslie Harlow | Physician Assistant | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2012-09-24 |
| 1386808996 | Sharnell S Smith | Surgery | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2008-07-12 |
| 1306062880 | Fort Washington Physicians Group | Hospitalist | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558823807 | Sybil Canales | Nurse Practitioner | 8507 Oxon Hill Rd., Suite 200, Fort Washington, MD 20744 | 2019-04-04 |
| 1700372141 | Avia Barrett-powell | Nurse Practitioner | 10709 Md-210 Suite D, Fort Wasshington, MD 20744 | 2018-07-09 |
| 1285125047 | Darlene Williams-prades | Specialist | 9400 Livingston Rd Ste 400, Ft Washington, MD 20744 | 2018-05-28 |
| 1609371277 | My Girl's Place Pllc | Social Worker | 8507 Oxon Hill Rd Ste 200-s35, Fort Washington, MD 20744 | 2018-03-27 |
| 1720580293 | Janet C Nwaogu | Licensed Practical Nurse | 6856 Eastern Avenue Suite 320 A, Washington (and Vicinity), MD 20744 | 2018-03-01 |
| 1174040505 | Sharon Ray | Specialist | 12303 Parkton St, Fort Washington, MD 20744 | 2017-08-25 |
| 1013433069 | Carmilla Wheeler | Specialist/Technologist | 12515 Langner Drive, Fort Washington, MD 20744 | 2017-08-21 |
| 1194266627 | Brian Cooper I | Home Health Aide | 9008 Branchview Dr, Fort Washington, MD 20744 | 2017-03-16 |
| 1467803973 | Saint Pharmacy, Inc | Pharmacy | 5608 Saint Barnabas Road, Suite 120, Fort Washington, MD 20744 | 2016-06-27 |
| 1962802959 | Eric Fosung Fotang | Pharmacist | 8201 Oxon Hill Road, Fort Washington, MD 20744 | 2014-08-27 |
| Find all providers in zip 20744 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1962795039 | Kimberly Rienecke | Physician Assistant | 11701 Livingston Rd Ste 105, Fort Washington, MD 20744-5126 | 2011-05-24 |
| 1447626858 | Marisa Pizzi | Physician Assistant | 270 Commerce Dr, #250, Fort Washington, PA 19034-2405 | 2015-08-19 |
| 1124423231 | Sarah White | Physician Assistant | 11711 Livingston Rd, Fort Washington, MD 20744-5151 | 2014-10-31 |
| 1528374451 | Katherine Victoria Moran | Physician Assistant | 455 Pennsylvania Ave, Suite 105, Fort Washington, PA 19034-3403 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
| 1457827552 | Kyra Ann Kearney | Physician Assistant | 7810 Arbor Grove Dr Apt 401, Hanover, MD 21076-1901 | 2018-10-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHINGTON |
| Zip Code | 20744 |
Please comment or provide details below to improve the information on KATHLEEN ANDERSEN.
| 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.