Anderson Healthcare Masters LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ANDERSON HEALTHCARE MASTERS LLC

Practice address

3390 Kori Rd
Jacksonville, FL 32257-2419

Phone

(904) 638-3511

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Tanisha Anderson, DNP

Title

Aprn

Phone

(904) 909-1227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1033729546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104-523",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563092",
            "fax_number": "904-253-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 KORI RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322572419",
            "telephone_number": "904-638-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2332 Brian Lakes Dr E",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322212802",
            "country_code": "US",
            "telephone_number": "904-909-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDERSON HEALTHCARE MASTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "904-909-1227",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cassandra Ann Andella
• Allison Andersen, A.P.
• Jarius Lamon R. Anderson-Baylor
• Dushuana Alexzandria Anderson-Cooksey
• Sandra Jean Anderson-Jones
• Aimee Diane Anderson, LCSW
• Andrew Robert Anderson, CAA

• All providers in Jacksonville, FL
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.