KENNETH ANDERSON (NPI# 1992311633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992311633 |
| Entity Type | Individual |
| Full Name | KENNETH ANDERSON |
| Practice Address |
1 Avenue C Ste 110 Madison WV 25130-1100 |
| Mailing Address |
1 Avenue C Ste 102 Madison WV 25130-1100 |
| Practice Telephone | 3043696400 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023279080 | Kenneth M Anderson | Physical Therapist | 823 Kennedy St Ne, Washington, DC 20011 | 2008-06-23 |
| 1063683233 | Kenneth Lee Anderson | Dental Hygienist | 111 Muldoon Rd Apt 5, Anchorage, AK 99504-1435 | 2008-03-17 |
| 1154469690 | Kenneth William Anderson | Optometrist | 8048 San Miguel Canyon Rd, Salinas, CA 93907-1208 | 2007-02-04 |
| 1659434108 | Kenneth W Anderson IIi | Family Medicine | 14451 Morningside Rd, Orland Park, IL 60462-7413 | 2006-12-18 |
| 1528075793 | Kenneth Albert Anderson | Anesthesiology | 6605 Abercorn St Ste 108, Savannah, GA 31405-5896 | 2006-08-01 |
| 1215951611 | Kenneth David Anderson | Dentist | 204 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 | 2006-07-27 |
| 1437172533 | Kenneth L. Anderson IIi | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2006-07-26 |
| 1467483867 | Kenneth Robert Anderson | Family Medicine | 15701 State Road 50suite 101, Suite 101, Clermont, FL 34711 | 2006-07-05 |
| 1073569224 | Kenneth Allen Anderson | Physician Assistant | 1321 N Center St, Hickory, NC 28601-2535 | 2006-05-26 |
| 1508825860 | Kenneth Robert Anderson | Dentist | 132 N West St, Wichita, KS 67203 | 2006-03-23 |
| Street Address |
1 AVENUE C STE 110 |
| City | MADISON |
| State | WV |
| Zip Code | 25130-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171013 | Nicole Maynor | Specialist | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-07-21 |
| 1528665759 | Ruby Hinkle | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-10-01 |
| 1639786957 | Angela Collins | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-09-30 |
| 1497362719 | Crystal Hanshaw | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-09-30 |
| 1851908990 | Glenna Fay Mcwain | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-09-23 |
| 1629684014 | Jacob Hughes | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-09-21 |
| 1962018622 | Gladys Blevins | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-09-18 |
| 1952917908 | Adrian Alexander Font | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-09-16 |
| 1184230146 | Richard Louis Scarberry | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-09-16 |
| 1740895663 | Faith Cannon | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
| 1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
| 1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| 1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
| Find all providers in zip 25130 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942254 | Christopher Adkins | Technician | 10 Avenue C Ste 109, Madison, WV 25130-1102 | 2020-11-06 |
| 1023619301 | Kaleigh Ellis | Technician | 301 Rucker St, Madison, WV 25130-1125 | 2020-11-04 |
| 1831797216 | Stacie Walls | Technician | 1 Avenue C Ste 109, Madison, WV 25130-1100 | 2020-10-16 |
| 1447857859 | Patrice Scott | Technician | 6134 Clay St, Madison, OH 44057-9416 | 2020-10-08 |
| 1639780661 | Crystal Renay Green | Technician | 99 Croft Ln, Madison, WV 25130-8501 | 2020-08-13 |
| 1235740341 | Shannon Davis | Technician | 330 Wilson St, Madison, WV 25130-1368 | 2020-08-12 |
| 1114536521 | Debra Lynn Kuhn | Technician | 1 Avenue C Ste 102, Madison, WV 25130-1100 | 2020-07-31 |
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1164031647 | Krista Hall | Technician | 828 Lee Ave, Madison, WV 25130-1505 | 2020-07-30 |
| 1912516444 | Harold Joe Mcneely | Technician | 1 Avenue C Bldg Suite109, Madison, WV 25130-1100 | 2020-07-30 |
| Find all providers in MADISON | ||||
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| 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.