Kathleen Marie Anderson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.1000381-NP Issued in CO

Practice address

743 Horizon CT Ste 100
Grand Junction, CO 81506-8715

Phone

(970) 241-7600

Fax

(970) 245-9094

NPI assigned

May 28, 2024

Last updated

Jan 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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 CO

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Medical Group, LLC

  dba Internal Medicine Associates of the Grand Valley

  • Internal Medicine Physician
  • Grand Junction, CO
  • NPI 1043640634
  Medicare reassignment Care Compare group NPD
• Community Medical Group, LLC

  dba Grand Valley Behavioral Health

  • Specialist
  • Grand Junction, CO
  • NPI 1538713136

  Psychiatric/Mental Health

  NPD
• Community Medical Group, LLC

  dba Western Colorado Bone Health

  • Specialist
  • Grand Junction, CO
  • NPI 1720736937
  NPD
• Community Medical Group

  dba Western Medical Associates of the Grand Valley

  • Family Medicine Physician
  • Grand JCT, CO
  • NPI 1629858857
  NPD (past)
• Community Medical Group, LLC

  dba Grand Valley Primary Care

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1558505503
  NPD (past)
• Community Medical Group, LLC

  dba Community Care of the Grand Valley

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1629201637
  NPD (past)
• Community Medical Group, LLC

  dba Grand Valley Pediatrics

  • Pediatrics Physician
  • Grand Junction, CO
  • NPI 1730505702
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1134969116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MOSS WAY",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "815269238",
            "telephone_number": "970-270-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068715",
            "telephone_number": "970-241-7600",
            "fax_number": "970-245-9094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "562 29 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815048901",
            "country_code": "US",
            "telephone_number": "970-985-7467",
            "fax_number": "970-666-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000381-NP",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "RN.0199454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna M Andersen, FNP
• Craig Holger Andersen, MD
• Rachell Lucille Andersen, BS
• Jacqueline Kay Anderson
• Jess Anderson, D.O
• Kellie Anderson, PHARMD
• Kristine Lee Anderson
• Miesha Anderson, NP
• Pamela Anderson, LCSW
• Stacy Anderson

• Psychiatric/Mental Health Nurse Practitioner in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.

Verify at the official NPI Registry.