Active NPI
Dekozlymn Anderson, CRNP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-106321
- Practice address
- 9515 W Camelback Rd Ste 136&138
Phoenix, AZ 85037-1355 - Phone
- (850) 304-7986
- NPI assigned
- Oct 10, 2013
- Last updated
- Feb 23, 2026
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024180539 | VA | |
| Family Nurse Practitioner | 363LF0000X | 229161 | LA | |
| Family Nurse Practitioner | 363LF0000X | 1018365 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1-106321 | AL | Primary |
| Family Nurse Practitioner | 363LF0000X | 281866 | AZ | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP000112 | GA | |
| Family Nurse Practitioner | 363LF0000X | TPAN1658 | FL | |
| Family Nurse Practitioner | 363LF0000X | 26670 | SC |
Addresses
Primary practice location
9515 W Camelback Rd Ste 136&138
Phoenix, AZ 85037-1355
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (850) 304-7986
Other practice location 1
7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700
Phone (850) 304-7986
Other practice location 2
545 Gulfgate Center Mall
Houston, TX 77087-3023
Phone (850) 304-7986
Other practice location 3
1821 Mount Zion Rd
Morrow, GA 30260-3015
Phone (850) 304-7986
Other practice location 4
941 N 14th St
Leesburg, FL 34748-3838
Phone (850) 304-7986
Other practice location 5
7551 Youree Dr Ste 11
Shreveport, LA 71105-5533
Phone (850) 304-7986
Other practice location 6
2001 E Greenville St
Anderson, SC 29621-1529
Phone (850) 304-7986
Electronic endpoints 7
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dekozlymn.anderson.5@29601.direct.athenahealth.com | Direct | |
| Direct Messaging Address | dekozlymn.anderson.1@29601.direct.athenahealth.com | Direct | |
| Direct Messaging Address | dekozlymn.anderson.7@29601.direct.athenahealth.com | Direct | |
| Direct Messaging Address | dekozlymn.anderson.6@29601.direct.athenahealth.com | Direct | |
| Direct Messaging Address | dekozlymn.anderson.3@29601.direct.athenahealth.com | Direct | |
| Direct Messaging Address | dekozlymn.anderson.4@29601.direct.athenahealth.com | Direct | |
| Direct Messaging Address | dekozlymn.anderson.2@29601.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, VA, TX, LA, TN, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2261 Market St
San Francisco, CA 94114-1612
5995 Waterside Dr
Hoover, AL 35244-4193
6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126
6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126-3168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32545 | TN | MD | Registered Nurse |
| 1-106321 | AL | MD | Family Nurse Practitioner |
| 281866 | AZ | MD | Family Nurse Practitioner |
| TPAN1658 | FL | MD | Family Nurse Practitioner |
| GAA-NP000112 | GA | MD | Family Nurse Practitioner |
| 229161 | LA | MD | Family Nurse Practitioner |
| 26670 | SC | MD | Family Nurse Practitioner |
| 1018365 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Physician Services of Texas, P.a. | Current | Accepting new patients | |
| Centerwell Senior Primary Care Az CS PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care Az CS PC | Current | Accepting new patients | |
| Ophelia Medical Group, P.C. | Current | Accepting new patients | |
| Centerwell Senior Primary Care (SC) PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care Ga CS PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care TX CS PA | Current | Accepting new patients | |
| Centerwell Senior Primary Care (SC) PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care la CS PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care TN CS PC | Current | Accepting new patients |
Locations
9515 W Camelback Rd
Ste 136
Phoenix, AZ 85037
Phone (623) 322-8906
9515 W Camelback Rd
Ste 136138
Phoenix, AZ 85037
Phone (623) 322-8906
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380
7551 Youree Dr
Ste 11
Shreveport, LA 71105
Phone (318) 642-9282
2001 E Greenville St
Anderson, SC 29621
Phone (864) 332-3098
1947 Madison St
Ste B
Clarksville, TN 37043
Phone (931) 614-7169
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
545 Gulfgate Center Mall
Houston, TX 77087
Phone (281) 846-7209
Interoperability endpoints
- dekozlymn.anderson.5@29601.direct.athenahealth.com
- dekozlymn.anderson.7@29601.direct.athenahealth.com
- dvanderson@direct.uabmedicine.org
Organizations & group practices 12
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.
-
dba CenterWell Senior Primary Care-Estrella
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1255167417
-
dba CenterWell Senior Primary Care-Orchard Park
- Internal Medicine Physician
- Greenville, SC
- NPI 1376907790
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1952196495
-
- Nurse Practitioner
- Abilene, TX
- NPI 1043529944
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1518752054
-
- Sleep Medicine (Internal Medicine) Physician
- San Francisco, CA
- NPI 1003626797
LA, TX
-
dba CenterWell Senior Primary Care-TerraCita
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1326991720
-
dba CenterWell Senior Primary Care -Anderson
- Internal Medicine Physician
- Anderson, SC
- NPI 1710341144
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Philadelphia, PA
- NPI 1376179150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1134556061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "850-304-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD STE 136&138",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850371355",
"telephone_number": "850-304-7986"
}
],
"practiceLocations": [
{
"address_1": "7525 Tidewater Dr Ste 19",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235053700",
"country_code": "US",
"telephone_number": "850-304-7986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 Gulfgate Center Mall",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770873023",
"country_code": "US",
"telephone_number": "850-304-7986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1821 Mount Zion Rd",
"address_purpose": "LOCATION",
"city": "Morrow",
"state": "GA",
"postal_code": "302603015",
"country_code": "US",
"telephone_number": "850-304-7986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "941 N 14th St",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347483838",
"country_code": "US",
"telephone_number": "850-304-7986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7551 Youree Dr Ste 11",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711055533",
"country_code": "US",
"telephone_number": "850-304-7986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 E Greenville St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296211529",
"country_code": "US",
"telephone_number": "850-304-7986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "DEKOZLYMN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-10",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024180539",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "229161",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1018365",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-106321",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "281866",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP000112",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "TPAN1658",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "26670",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dekozlymn.anderson.5@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7525 Tidewater Dr Ste 19",
"city": "Norfolk",
"state": "VA",
"country_code": "US",
"postal_code": "235053700",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dekozlymn.anderson.1@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9515 W Camelback Rd Ste 136&138",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850371355",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dekozlymn.anderson.7@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "545 Gulfgate Center Mall",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770873023",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dekozlymn.anderson.6@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "941 N 14th St",
"city": "Leesburg",
"state": "FL",
"country_code": "US",
"postal_code": "347483838",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dekozlymn.anderson.3@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1821 Mount Zion Rd",
"city": "Morrow",
"state": "GA",
"country_code": "US",
"postal_code": "302603015",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dekozlymn.anderson.4@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7551 Youree Dr Ste 11",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711055533",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dekozlymn.anderson.2@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2001 E Greenville St",
"city": "Anderson",
"state": "SC",
"country_code": "US",
"postal_code": "296211529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.
- 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.