GRETCHEN L ANDERSON (NPI# 1871563536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871563536 |
| Entity Type | Individual |
| Full Name | GRETCHEN L ANDERSON |
| Credential | RN, CS, MS(N),FNP |
| Practice Address |
3917 West Rd Suite A Los Alamos NM 87544-2275 |
| Practice Telephone | 5056618900 |
| Practice Fax Number | 5056618961 |
| Mailing Telephone | 5056618900 |
| Mailing Fax Number | 5056618961 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
102429 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-01819 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 429664626 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285017350 | Gretchen Anderson | Social Worker | 875 Centerville Rd Unit 2, Anderson-squires, LLC, Warwick, RI 02886-4366 | 2015-07-07 |
| 1306820709 | Gretchen Elizabeth Anderson | Physical Therapist | 14120 North Newport Hwy Suite B, Therapeutic Associates Mount Spokane Physic, Mead, WA 99021-8600 | 2005-11-30 |
| 1639723810 | Gretchen Nickole Anderson | Counselor | 606 E Spring St, Cookeville, TN 38501-5066 | 2019-07-26 |
| 1215440995 | Gretchen G Anderson | Licensed Practical Nurse | 224 Columbus Rd, Athens, OH 45701-1334 | 2017-11-16 |
| 1346799921 | Gretchen Lee Anderson | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-09-23 |
| 1851723316 | Gretchen Jane Anderson | Registered Nurse | 405 Killion Ct Nw, Yelm, WA 98597-9411 | 2013-08-06 |
| 1811286297 | Gretchen Nicole Anderson | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2011-04-06 |
| 1487956314 | Gretchen M Anderson | Social Worker | 566 Ann St, Birmingham, MI 48009-1724 | 2010-11-29 |
| 1750614194 | Gretchen Anderson | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2009-09-17 |
| 1508921008 | Gretchen Lynne Anderson | Pharmacist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2006-12-26 |
| Street Address |
3917 WEST RD SUITE A |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031321 | Jan M Merin | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2005-05-23 |
| 1366089237 | Gonzalo A Diaz | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2019-12-10 |
| 1124576327 | Clay Schneider | Nurse Practitioner | 3917 West Rd, Los Alamos, NM 87544-2275 | 2016-09-15 |
| 1093167330 | Laura K Merrigan | Nurse Practitioner | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2016-07-11 |
| 1043675473 | Total Renal Care Inc | Clinic/Center | 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 | 2015-12-30 |
| 1225414253 | Sarah Versackas | Registered Nurse | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2015-07-31 |
| 1700273745 | Apogee Medical Group | General Acute Care Hospital | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-04-16 |
| 1679965883 | Los Alamos Emergency Medical Associates Inc | Emergency Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-02-25 |
| 1659773612 | Eric Jonathan Krinsky | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-22 |
| 1740681311 | Robin Jean Norman | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255681474 | Peggy Ickes | Nurse Practitioner | 1445 35th St, Los Alamos, NM 87544-2107 | 2012-09-14 |
| 1083267363 | Angela Marie Minium | Nurse Practitioner | 118 Central Park Sq, Los Alamos, NM 87544-4021 | 2019-07-16 |
| 1124576327 | Clay Schneider | Nurse Practitioner | 3917 West Rd, Los Alamos, NM 87544-2275 | 2016-09-15 |
| 1659798775 | Adriana Gonzales | Nurse Practitioner | 3917 West Road, Ste. A, Los Alamos, NM 87544 | 2014-03-26 |
| 1740337146 | Mara Trainer | Nurse Practitioner | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2007-01-05 |
| 1740378546 | Karen Anne Schneider | Nurse Practitioner | 3917 West Road Suite A, Medical Associates of Northern New Mexico, Los Alamos, NM 87544 | 2006-10-10 |
| 1609969179 | Susan Skelton | Nurse Practitioner | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
| 1578162822 | Holly Killough | Nurse Practitioner | 2332 Cottage San Rd, Silver City, NM 88061-8966 | 2020-10-19 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on GRETCHEN L 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.