Amanda Lee Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1280 Issued in ID

Practice address

845 E Fairview Ave
Suite 115
Meridian, ID 83642-8048

Phone

(208) 893-5401

Fax

(208) 893-5403

NPI assigned

Apr 2, 2007

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back 2 Health Chiropractic LLC

  • Chiropractor
  • Meridian, ID
  • NPI 1942151972
  Authorized official Same address or phone

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1083735633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 E FAIRVIEW AVE",
            "address_2": "SUITE 115",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428048",
            "telephone_number": "208-893-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E FAIRVIEW AVE",
            "address_2": "SUITE 115",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428048",
            "telephone_number": "208-893-5401",
            "fax_number": "208-893-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6046",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ancora Hospice & Palliative Services, LLC (Ancora Health Services)
• Alpha Tamir Anders, MD
• Andersen Family Care
• Dallin Andersen, PA-C
• Joseph John Andersen, M.S. LMFT
• Amy Rose Anderson, NP
• Autumn Rose Anderson
• Brandi Lynn Anderson, NBC-HWC
• Chelsea Anderson, APRN-CPNP
• David Dwynn Anderson, PT

• Chiropractor in Meridian, ID
• Providers in Meridian, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.