Active NPI
Nora Anderson, MSN, NP
- Student Health Clinic/Center
- Seal Beach, CA
National Provider Identifier
1083036495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- License
- 171215
- Practice address
- 1603 Merion Way
42 G
Seal Beach, CA 90740-4984 - Phone
- (562) 431-4428
- NPI assigned
- Jan 21, 2014
- Last updated
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | 171215 | CA | Primary |
Addresses
Primary practice location
1603 Merion Way
42 G
Seal Beach, CA 90740-4984
Mailing address
1603 Merion Way
42 G
Seal Beach, CA 90740-4984
Phone (562) 431-4428
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171215 | CA | MD | Student Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1083036495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 MERION WAY",
"address_2": "42 G",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907404984",
"telephone_number": "562-431-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 MERION WAY",
"address_2": "42 G",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907404984",
"telephone_number": "562-431-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "NORA",
"name_prefix": "Ms.",
"credential": "MSN, NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": "CA",
"license": "171215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.