Organization Active NPI

Anderson Isl

  • Case Manager/Care Coordinator
  • Warrensburg, MO
National Provider Identifier
1104071455
Registry record updated Nov 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ANDERSON ISL
Practice address
503 E Clark St
Warrensburg, MO 64093-2405
Phone
(660) 221-2118
NPI assigned
Nov 27, 2008
Last updated
Nov 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2008

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

Authorized official

Name
Jane AndersonNPI 1013169903
Title
Provider
Phone
(660) 221-2118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

503 E Clark St
Warrensburg, MO 64093-2405

Mailing address

503 E Clark St
Warrensburg, MO 64093-2405
Phone (660) 221-2118

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227744000000",
    "number": "1104071455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E CLARK ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640932405",
            "telephone_number": "660-221-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E CLARK ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640932405",
            "telephone_number": "660-221-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON ISL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-27",
        "last_updated": "2008-11-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "660-221-2118"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2008; 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.