MR. KEITH ERIK ANDERSON (NPI# 1891729398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891729398 |
| Entity Type | Individual |
| Full Name | MR. KEITH ERIK ANDERSON |
| Credential | RN, NP |
| Practice Address |
550 Munson Ave Traverse City MI 49686 |
| Mailing Address |
2513 Momentum Place Chicago IL 60689-0001 |
| Practice Telephone | 2319352686 |
| Practice Fax Number | 2319352687 |
| Mailing Telephone | 2319356080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 491898 | CA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704318195 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
10439 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St Rm 7002, Loma Linda, CA 923542804 | 9095588631 | 9095580696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144579343 | Keith Alan Anderson | Chiropractor | 208 S Burlington Ave Ste 114, Hastings, NE 68901-5950 | 2012-09-04 |
| 1174654917 | Keith John Anderson | Psychologist | 110 8th St., Troy, NY 12180 | 2007-03-07 |
| 1790245611 | Keith Anderson Jr. | Student in an Organized Health Care Education/Training Program | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2019-03-25 |
| 1275035503 | Keith Francis Anderson Jr. | Speech-Language Pathologist | 180 W 80th St, New York, NY 10024-6378 | 2018-03-02 |
| 1578072948 | Keith Michael Anderson | Social Worker | 608 Wright Ave, Alma, MI 48801-1617 | 2017-09-28 |
| 1295196566 | Keith Anderson | Student in an Organized Health Care Education/Training Program | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2016-03-15 |
| 1891039814 | Keith Erwin Anderson | Social Worker | 3600 Broadway, Suite 19, West Palm Beach, FL 33407-4844 | 2012-11-15 |
| 1902185051 | Keith Richard Anderson | Podiatrist | 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 | 2011-08-08 |
| 1982863312 | Keith A Anderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2008-06-02 |
| 1174652606 | Keith Alan Anderson | Family Medicine | 200 Greenwich Rd, Charlotte, NC 28211-2316 | 2007-03-02 |
| Street Address |
550 MUNSON AVE |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839131 | William H. George | Internal Medicine | 550 Munson Ave, Traverse City, MI 49686 | 2005-05-24 |
| 1265054936 | Erynne Louise Russell | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-05-15 |
| 1821624545 | Susan Carol Spencer | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-03-13 |
| 1346807617 | Mary Priestly | Physician Assistant | 550 Munson Ave, Traverse City, MI 49686-3580 | 2019-05-22 |
| 1194380493 | Kimberly A Chandler | Health Educator | 550 Munson Ave, Traverse City, MI 49686-3580 | 2019-05-02 |
| 1942770946 | Caroline Kiley | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-12-03 |
| 1851861850 | Grace Blankenhagen | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-12-03 |
| 1316429863 | Elizabeth Marie Teklinski | Counselor | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-08-31 |
| 1326544230 | Kaitlyn Troutman | Nurse Practitioner | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-04-02 |
| 1598267254 | Teresa Lynn Hearne | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316464019 | Ali Razak Salman Saheb | Nurse Practitioner | 9711 E Walters Dr, Traverse City, MI 49684-7611 | 2017-08-24 |
| 1649345463 | Patricia Anne Friedli | Nurse Practitioner | 2600 Lafranier Rd Ste A, Traverse City, MI 49686-4765 | 2006-11-21 |
| 1679556724 | Lynn Redden Shattuck | Nurse Practitioner | 2828 Concord St, Traverse City, MI 49684-4618 | 2005-11-22 |
| 1164085007 | Julie Krauth | Nurse Practitioner | 4020 Copper Vw Ste 104, Traverse City, MI 49684-7041 | 2019-04-16 |
| 1023501699 | Jessica Mastbergen | Nurse Practitioner | 1221 Sixth St Ste 208, Traverse City, MI 49684-2360 | 2018-06-08 |
| 1326544230 | Kaitlyn Troutman | Nurse Practitioner | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-04-02 |
| 1730550559 | Nichole Kelenske | Nurse Practitioner | 10850 E Traverse Hwy, Suite 4400, Traverse City, MI 49684-1364 | 2015-10-20 |
| 1255702999 | Melissa Schaub | Nurse Practitioner | 10850 E Traverse Hwy, Suite 4400, Traverse City, MI 49684-1364 | 2015-10-07 |
| 1245522994 | Alison Balmer Quiring | Nurse Practitioner | 1221 Sixth St Ste 208, Traverse City, MI 49684-2360 | 2011-05-12 |
| 1316278765 | Dorothy Catherine Low | Nurse Practitioner | 2585 Lafranier Rd, Traverse City, MI 49686-8972 | 2010-01-25 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on MR. KEITH ERIK 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.