Amber Dawn Anderson, CASE MANAGER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

420 N Oklahoma Ave
Tahlequah, OK 74464-3122

Phone

(918) 385-1553

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1013574615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N OKLAHOMA AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N OKLAHOMA AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643122",
            "telephone_number": "918-385-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASE MANAGER",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anders72@nsuok.edu",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Professional",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "420 N Oklahoma Ave",
            "city": "Tahlequah",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744643122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Craig Alan Alpaugh, RPAC
• Lori Jean Alred, PHARM.D.
• Lindsey Beth Amason, BHRS
• Amedisys Quality Oklahoma, L.L.C.
• Brittany Nicole Amlin
• Coralann Loraine Anderson
• Gayla Burgess Anderson
• Pamela K Anderson
• Susan K Anderson, DO
• Bobby Andrews

• Case Manager/Care Coordinator in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.