KELLI ANDERSON (NPI# 1740424647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740424647 |
| Entity Type | Individual |
| Full Name | KELLI ANDERSON |
| Credential | FNP-C |
| Practice Address |
4840 E Indian School Rd Phoenix AZ 85018-5500 |
| Mailing Address |
12112 W Desert Mirage Dr Peoria AZ 85383-8201 |
| Practice Telephone | 6029543919 |
| Mailing Telephone | 6026920575 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2014-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP3309 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013403245 | Kelli Jean Anderson | Social Worker | 608 Ne 122nd Ave, Vancouver, WA 98684-5826 | 2018-07-11 |
| 1700239738 | Kelli Ann Anderson | Registered Nurse | 16367 5 Mile Hwy, Onaway, MI 49765-9389 | 2016-07-14 |
| 1649610395 | Kelli Saage Anderson | Nurse Practitioner | 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-06-26 |
| 1548739717 | Kelli Anderson | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2018-11-17 |
| 1033643036 | Kelli Anderson | Case Manager/Care Coordinator | 3020 18th St Ste 3, Columbus, NE 68601-4254 | 2017-04-17 |
| 1891069928 | Kelli Anderson | Counselor | 120 Maple St, Springfield, MA 01103-2203 | 2012-03-07 |
| 1841574027 | Kelli Anderson | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2011-10-05 |
| 1508167578 | Kelli Anderson | Case Management | 619 N Main St, Muskogee, OK 74401-4431 | 2010-11-08 |
| 1760682439 | Kelli Anderson | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-20 |
| 1992857775 | Kelli Christina Anderson | Specialist | 99 Kinderkamack Rd, Suite 112, Westwood, NJ 07675-3012 | 2007-01-18 |
| Street Address |
4840 E INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760472351 | Frank E Cibulka | Family Medicine | 4840 E Indian School Rd, Suite 100, Phoenix, AZ 85018-5500 | 2005-10-25 |
| 1275989972 | Andre Tarin | Nurse Practitioner | 4840 E Indian School Rd, Suite #102, Phoenix, AZ 85018-5500 | 2016-05-11 |
| 1023382041 | Scottsdale Healthcare Corp | Family Medicine | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 | 2012-03-08 |
| 1841576402 | Danielle Lynn Krotin | Physical Therapist | 4840 E Indian School Rd, Phoenix, AZ 85018-5500 | 2011-10-27 |
| 1447530027 | Arizona Injury Medical Associates, P.l.l.c. | Psychiatry & Neurology | 4840 E Indian School Rd, Suite 104, Phoenix, AZ 85018-5500 | 2011-08-26 |
| 1336433242 | Cheryl B Hnatiuk | Nurse Practitioner | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 | 2011-06-08 |
| 1083918551 | Kristen Noel Peterson | Nurse Practitioner | 4840 E Indian School Rd, #102, Phoenix, AZ 85018-5500 | 2010-12-27 |
| 1578885026 | Michael Marcelino Cruz | Specialist/Technologist | 4840 E Indian School Rd, Suite 103, Phoenix, AZ 85018-5500 | 2010-02-25 |
| 1124279682 | Tina Lynn Busby | Nurse Practitioner | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 | 2008-10-02 |
| 1003082090 | Omni Dermatology Incorporated | Dermatology | 4840 E Indian School Rd, Suite 105, Phoenix, AZ 85018-5500 | 2008-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
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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.