Brandi Anderson
Individual provider Active NPI Community Health Worker · Prestonsburg, KY
NPI 1073072989 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1073072989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 104 S Front Ave
Prestonsburg, KY 41653-1614 - Phone
- (600) 886-8572
- Fax
- (606) 886-4433
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
104 S Front Ave
Prestonsburg, KY 41653-1614
Mailing address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (600) 886-8572
Other providers in Prestonsburg, KY
- Mary Whitney Amburgey
- American Surgical Specialists, PLLC
- American Surgical Specialists, PLLC
- Alyssa Anderson
- Ashley Anderson
- Cara L Anderson
- Courtney Anderson
- John Anderson
- Marcella Anderson
- Rephard Anderson
All providers in Prestonsburg, KY · Community Health Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.