Active NPI
Katie Sue Anderson
- Peer Specialist
- Corunna, MI
National Provider Identifier
1003515875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 211 N Shiawassee St Ste a
Corunna, MI 48817-1444 - Phone
- (989) 928-3566
- NPI assigned
- Mar 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MI | Primary |
Addresses
Primary practice location
211 N Shiawassee St Ste a
Corunna, MI 48817-1444
Mailing address
1009 Washington Ave
Bay City, MI 48708-5705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Pathways, LLC | Current | Accepting new patients | |
| Recovery Pathways, LLC | Current | Accepting new patients |
Locations
1009 Washington Ave
Bay City, MI 48708
211 N Shiawassee St
Ste A
Corunna, MI 48817
Phone (989) 494-0404
863 N Pine Rd
Ste A
Essexville, MI 48732
Phone (356) 698-9928
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Bay City, MI
- NPI 1720314008
-
- Medical Specialty Clinic/Center
- Corunna, MI
- NPI 1780362350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1003515875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 WASHINGTON AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487085705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N SHIAWASSEE ST STE A",
"city": "CORUNNA",
"state": "MI",
"postal_code": "488171444",
"telephone_number": "989-928-3566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATIE",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-01",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corunna, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.