Joan Gutierrez Anderson, FAMILY NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19051 Issued in CA

Practice address

4540 E 7TH St
Long Beach, CA 90804-4327

Phone

(562) 344-1150

Fax

(562) 344-1155

NPI assigned

Sep 27, 2010

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 CA

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

State licenses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1164731071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044327",
            "telephone_number": "562-344-1150",
            "fax_number": "562-344-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044327",
            "telephone_number": "562-344-1150",
            "fax_number": "562-344-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOAN",
        "middle_name": "GUTIERREZ",
        "credential": "FAMILY NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance J Anderson, D.C.
• Denette Allise Anderson, D.D.S.
• Elidge Demete Anderson, DC
• Erika Ariane Hartman Anderson, M.M.F.T.
• Javonna Anderson
• Joilyn Camyl Anderson
• Keishawn Lachelle Anderson, BA
• Merle Arden Anderson, D.D.S.
• Sylvia Emily Anderson
• Tajon Anderson

• Family Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.