Active NPI
Sue K Anderson, MD
- Nephrology Physician
- Kansas City, MO
National Provider Identifier
1083679914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- R7A48
- Practice address
- 4320 Wornall Rd
Ste 208
Kansas City, MO 64111-5941 - Phone
- (816) 531-0552
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | R7A48 | MO | Primary |
Addresses
Primary practice location
4320 Wornall Rd
Ste 208
Kansas City, MO 64111-5941
Mailing address
4320 Wornall Rd
Ste 208
Kansas City, MO 64111-5941
Phone (816) 531-0552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7A48 | MO | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1083679914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 WORNALL RD",
"address_2": "STE 208",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115941",
"telephone_number": "816-531-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WORNALL RD",
"address_2": "STE 208",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115941",
"telephone_number": "816-531-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SUE",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "R7A48",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.