Kristy J Anderson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60630731 Issued in WA

Practice address

30 NW Birch St
Coupeville, WA 98239-3103

Phone

(360) 678-1515

Fax

(360) 678-5037

NPI assigned

Feb 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kanderson@ifaderm.emadirect.md

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

• Island Facial Aesthetics P.S.

  • Nurse Practitioner
  • Coupeville, WA
  • NPI 1164054961
  Medicare reassignment NPD Authorized official
• Island County Dermatology, PLLC

  • Ambulatory Surgical Clinic/Center
  • Anacortes, WA
  • NPI 1144496613
  NPD (past)

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1104284033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NW BIRCH ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393103",
            "telephone_number": "360-678-1515",
            "fax_number": "360-678-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NW BIRCH ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393103",
            "telephone_number": "360-678-1515",
            "fax_number": "360-678-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-06",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60630731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Wayne Adkins, MD
• Brianna Noel Altman
• Marci Ameluxen, OTR/L
• Christina Lynn Amendolare, AGPCNP
• Danyel Elizabeth Anderson-Brown, CNA
• Susan Anderson, PHD
• Wendal Westland Ayars
• Heather Nicole Badger, NP-C
• Lynbert Joseph Balagot, RN
• Bruce Bardwell, LMFT

• Family Nurse Practitioner in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.

Verify at the official NPI Registry.