Christine Lee Anderson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101258743 Issued in VA

Practice address

Navy Medicine Readiness & Training Unit Fort Worth
1711 Doolittle Ave
Fort Worth, TX 76127

Phone

(817) 782-5909

NPI assigned

May 20, 2014

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1083025415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVY MEDICINE READINESS & TRAINING UNIT FORT WORTH",
            "address_2": "1711 DOOLITTLE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVY MEDICINE READINESS & TRAINING UNIT FORT WORTH",
            "address_2": "1711 DOOLITTLE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76127",
            "telephone_number": "817-782-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHRISTINE",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101258743",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Anderson, LPC
• Ashley Anderson
• Brenda Evette Anderson
• Carley Michelle Anderson, PTA
• Carol Anderson
• Cody Lashay Anderson, RN
• Denise Carol Anderson, C.D.E.
• Elisabeth D. Anderson, R.D.
• Emma Anderson, M.S., CCC-SLP
• Evan Anderson

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.