Kerryann Anderson
Individual provider Active NPI Adult Companion · Windsor, CT
NPI 1114745684 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1114745684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- License
- HCA.0002265 (CT)
- Practice address
- 148 High Path Rd
Windsor, CT 06095-4131 - Phone
- (347) 728-7135
- NPI assigned
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCA.0002265 | CT | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | HCA.0002265 | CT | |
| Adult Companion | 372600000X | HCA.0002265 | CT | Yes |
Addresses
Primary practice location
148 High Path Rd
Windsor, CT 06095-4131
Mailing address
148 High Path Rd
Windsor, CT 06095-4131
Phone (347) 728-7135
Other providers in Windsor, CT
- Amar N. Gulati, P.C.
- American Current Care PA PC
- Gail E Anaekwe I
- Alondra Anderson
- Destiniece Anderson
- Kelvin Antobre
- Apados
- Apnot Better Sleep Centers, PLLC
- Amanda Archambault
- Marie Arnold
All providers in Windsor, CT · Adult Companion in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.