CHAD ANDERSEN (NPI# 1881240919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881240919 |
| Entity Type | Individual |
| Full Name | CHAD ANDERSEN |
| Credential | NP |
| Practice Address |
3658 W Goldmine Mountain Dr San Tan Valley AZ 85142-6593 |
| Practice Telephone | 4803886121 |
| Mailing Telephone | 4803886121 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
230938 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3658 W GOLDMINE MOUNTAIN DR |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85142-6593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
| 1689142333 | Erin Sohr | Occupational Therapy Assistant | 4594 W Federal Way, San Tan Valley, AZ 85142 | 2018-11-10 |
| 1083180723 | Katelyn Hannabach | Physician Assistant | 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, AZ 85142 | 2018-10-20 |
| 1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
| 1861925604 | Shani Thompson | Student in an Organized Health Care Education/Training Program | 22437 S 209th Way, Queen Creek, AZ 85142 | 2017-04-08 |
| 1689115164 | 360 Physical Therapy LLC | Physical Therapist | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 | 2017-03-16 |
| 1891233714 | Candee J. Eisenhart | Nurse Practitioner | 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142 | 2017-02-11 |
| 1790231546 | Carrie Church | Nurse Practitioner | 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 | 2016-08-31 |
| 1669836649 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 22713 S. Ellsworth Road, Building A, Queen Creek, AZ 85142 | 2016-04-06 |
| Find all providers in zip 85142 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832264 | Lisa Wakefield | Nurse Practitioner | 1148 W Fruit Tree Ln, San Tan Valley, AZ 85143-3487 | 2020-05-11 |
| 1215569223 | Kimberly Jo Savage | Nurse Practitioner | 4190 E Santa Clara Dr, San Tan Valley, AZ 85140-7936 | 2020-02-07 |
| 1922645191 | Paula Lerma Neiswonger | Nurse Practitioner | 2842 E Inca Ln, San Tan Valley, AZ 85140-1324 | 2019-12-05 |
| 1417415183 | Marie Ekren | Nurse Practitioner | 678 W Jersey Way, San Tan Valley, AZ 85143-5490 | 2019-03-12 |
| 1619454154 | Romella Icban Watler | Nurse Practitioner | 39259 N Cali Cir, San Tan Valley, AZ 85140-5814 | 2018-07-27 |
| 1669975876 | Lorraine D Fajardo | Nurse Practitioner | 3608 E Desert Moon Trl, San Tan Valley, AZ 85143-3366 | 2018-03-14 |
| 1700399839 | Mark Roy Kent | Nurse Practitioner | 3312 E Desert Moon Trl, San Tan Valley, AZ 85143-3352 | 2017-11-11 |
| 1669838298 | Donna Lynne Hoffman | Nurse Practitioner | 3862 E Pony Track Ln, San Tan Valley, AZ 85140-4950 | 2016-01-12 |
| 1952617201 | Richard Earl Wade | Nurse Practitioner | 1284 E Maddison St, San Tan Valley, AZ 85140-5765 | 2010-08-25 |
| 1588681324 | Vickie Clous | Nurse Practitioner | 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143-5096 | 2006-07-17 |
| Find all providers in SAN TAN VALLEY | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85142 |
Please comment or provide details below to improve the information on CHAD 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.