HEATHER S ANDERSON (NPI# 1902903586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902903586 |
| Entity Type | Individual |
| Full Name | HEATHER S ANDERSON |
| Credential | M.D. |
| Practice Address |
10977 Granada Ln Suite 105 Leawood KS 66211-1468 |
| Mailing Address |
Po Box 875743 Kansas City MO 64187-5743 |
| Practice Telephone | 9132155008 |
| Practice Fax Number | 8164473960 |
| Mailing Telephone | 9132155008 |
| Mailing Fax Number | 8164473960 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
04-30906 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207369000 | 05 | |
| RAILROAD MEDICARE | P00251353 | 01 | |
| KS | 200331610A | 05 | |
| MO | BCBS KANSAS CITY | 35761019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1952956419 | Heather Marie Anderson | Family Medicine | 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 | 2019-08-01 |
| 1336706548 | Heather Leann Anderson | Nurse Practitioner | 1407 Viscaya Pkwy Ste 2, Cape Coral, FL 33990-6200 | 2019-05-22 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1316323033 | Heather Nicole Anderson | Physical Therapist | 506 Kenny Rd Ste 100, Saint Paul, MN 55130-4555 | 2015-08-04 |
| 1174925135 | Heather Anderson | Specialist/Technologist, Other | 1736 S Millenium Way, Meridian, ID 83642-1511 | 2014-09-22 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1376963496 | Heather Marie Anderson | Specialist | 1736 Booth Ave, Owensboro, KY 42301-4461 | 2014-04-16 |
| 1558783837 | Heather Anderson | Physical Therapy Assistant | 2185 204th Ave, Donnellson, IA 52625 | 2014-01-06 |
| Street Address |
10977 GRANADA LN SUITE 105 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306379763 | Susan Kioko-campbell | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2017-04-04 |
| 1740721083 | Shavinder Grewal | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2017-03-20 |
| 1992247043 | Lisa Gladfelder | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2016-11-07 |
| 1790239978 | Kendra P Vogel | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2016-08-05 |
| 1922454321 | Jaymi Anson | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2016-05-04 |
| 1437504743 | Kamaria Harris | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2016-04-25 |
| 1659733731 | Tera Gericke | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2016-03-28 |
| 1336501410 | Charie Stoffel | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2016-03-28 |
| 1356703896 | Stephanie White | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2016-03-23 |
| 1831556604 | Deborah Duncan | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2016-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003916651 | William J Nowack | Psychiatry & Neurology | 12417 Howe Dr, Leawood, KS 66209 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184321 | Midwest Neurology Consultants, LLC | Psychiatry & Neurology | 5715 N Streckfus Trl, Salina, KS 67401-1769 | 2020-05-04 |
| 1386056083 | Douglas Ray Davis | Psychiatry & Neurology | 501 S Santa Fe, Suite 300, Neurology Department, Salina, KS 67401 | 2014-05-29 |
| 1124446406 | Amanda Jean Thuringer | Psychiatry & Neurology | Kansas University Medical Center Department, 3599 Rainbow Blvd., Mailstop 2012, Kansas City, KS 66160-0001 | 2014-04-02 |
| 1437411725 | Phaedra M. Dowell | Psychiatry & Neurology | 12140 Nall Ave Ste 230, Overland Park, KS 66209-2507 | 2012-06-12 |
| 1235413196 | Harsh Vardhan Gupta | Psychiatry & Neurology | 10777 Nall Ave Ste 200, Overland Park, KS 66211-1357 | 2011-10-10 |
| 1659688646 | Rawan Albadareen | Psychiatry & Neurology | 3901 Rainbow Blvd # 1033, Kumc, Kansas City, KS 66160-2741 | 2010-09-12 |
| 1780998658 | Rajesh Kumar Sadasivuni | Psychiatry & Neurology | 3243 E Murdock St Ste 104, Wichita, KS 67208-3018 | 2010-08-03 |
| 1689791196 | Michael George Abraham | Psychiatry & Neurology | 3901 Rainbow Blvd Dpt of Neurology, Kansas City, KS 66160 | 2007-03-22 |
| 1982707071 | Sathyashankar Subbanna | Psychiatry & Neurology | 1133 College Ave Bldg B, #224, Manhattan, KS 66502-2770 | 2006-09-06 |
| 1932144573 | Mazen M Dimachkie | Psychiatry & Neurology | 3599 Rainbow Blvd # Ms 2012, Kansas City, KS 66103-2078 | 2006-06-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEATHER S 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.