DR. ANNETTE N. ANDERSON (NPI# 1811170301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811170301 |
| Entity Type | Individual |
| Full Name | DR. ANNETTE N. ANDERSON |
| Credential | MD |
| Practice Address |
495 Hogan Ln Ste 2 Conway AR 72034-8498 |
| Mailing Address |
Po Box 9662 Conway AR 72033-9662 |
| Practice Telephone | 5013586695 |
| Practice Fax Number | 5013586860 |
| Mailing Telephone | 5013586695 |
| Mailing Fax Number | 5013586860 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
E-5622 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457869976 | Annette Michelle Anderson | Dietitian, Registered | 3919 N Maple St, Spokane, WA 99205-1349 | 2018-01-18 |
| 1538527742 | Annette Anderson | Counselor | 640 S Mission St, Wenatchee, WA 98801-3050 | 2016-02-02 |
| 1255713145 | Annette Anderson | Nurse Practitioner | 11800 Ne 128th St, 2nd Floor, Kirkland, WA 98034-7208 | 2015-06-26 |
| 1174828206 | Annette Karin Anderson | Dietitian, Registered | 2100 N State Highway 360, Suite 1106a, Grand Prairie, TX 75050-1011 | 2011-01-20 |
| 1316248719 | Annette Anderson | Behavioral Analyst | 2502 Crossroads Dr, B, Ardmore, OK 73401-2503 | 2010-11-16 |
| 1942535018 | Annette Anderson | Specialist | 600 St Paul Ave, Suite 100, Los Angeles, CA 90017-2038 | 2009-10-07 |
| 1881607166 | Annette H Anderson | Nurse Practitioner | 237 N D St, Perris, CA 92570-1919 | 2006-08-15 |
| 1174541460 | Annette Bilton Anderson | Family Medicine | 319 Folly Rd, Charleston, SC 29412-2518 | 2006-07-17 |
| Street Address |
495 HOGAN LN STE 2 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245647494 | Mary Christine Dumboski | Nurse Practitioner | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2014-07-21 |
| 1386908762 | Robbie Linn Hurtt | Urology | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2012-06-29 |
| 1730402249 | Conway Regional Medical Center, Inc | Clinic/Center | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2010-03-11 |
| 1912177486 | Londa Lynne Revis | Social Worker | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558667683 | Annette N. Anderson, Md, Pa | Psychiatry & Neurology | 2425 Dave Ward Dr, Suite 102, Conway, AR 72034-8686 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184674962 | Michael G Hollomon | Psychiatry & Neurology | 601 W Maple, Suite 403, Springdale, AR 72764-5374 | 2006-05-11 |
| 1902856867 | Gary A Linker | Psychiatry & Neurology | 12 E Appleby, Suite 101, Fayetteville, AR 72703 | 2006-05-11 |
| 1548230550 | Graham Mack Reid | Psychiatry & Neurology | 10816 Executive Center Dr, Suite 101, Little Rock, AR 72211-4384 | 2006-01-23 |
| 1306843396 | William Martin Meaney | Psychiatry & Neurology | 907 Mena St, Mena, AR 71953-4247 | 2005-07-05 |
| 1083932362 | Margaret Amanda Ege-woolley | Psychiatry & Neurology | 4301 W Markham St, Mail Slot 552, Little Rock, AR 72205-7101 | 2010-05-11 |
| 1174644140 | Joshua Woolley | Psychiatry & Neurology | 2200 Fort Roots Dr, Building 170 Unit 1l, North Little Rock, AR 72114-1709 | 2007-04-03 |
| 1154411627 | Lou Eads | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| 1336253533 | Monica Rohde Shotwell | Psychiatry & Neurology | 2200 Fort Roots Dr, Bldg 170, Ward 1h, North Little Rock, AR 72114-1709 | 2006-08-18 |
| 1366458044 | Dinesh Mittal | Psychiatry & Neurology | 2200 Fort Roots Dr, Building 58 (152/nlr), North Little Rock, AR 72114-1709 | 2006-08-01 |
| 1366408973 | Washington Regional Medical System | Psychiatry & Neurology | 3215 N Northhills Blvd, Washington Regional Psychiatric Clinic, Fayetteville, AR 72703-4424 | 2006-04-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ANNETTE N. 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.