Kimberly Ruth Anderson, R.N., C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704227621 Issued in MI

Practice address

2591 South Leaton Road
Mount Pleasant, MI 48858

Phone

(989) 775-4605

Fax

(989) 775-4680

NPI assigned

Aug 30, 2006

Last updated

Mar 1, 2016By 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 1

Addresses

Other names 1

• Mrs. Kimberly Ruth Noreen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Interoperability endpoints

• Direct secure messaging: kanderson48003@direct.covenanthealthcare.com

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.

• Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
  • NPI 1386688992
  NPD (past)
• Shepherd Clinic PLC

  • Family Medicine Physician
  • Shepherd, MI
  • NPI 1235184037
  NPD (past)
• Twin Family Medical PC

  dba Williams Family Medical

  • Primary Care Clinic/Center
  • Big Rapids, MI
  • NPI 1467960369
  NPD (past)
• Nez Perce Tribal Health Authority

  dba (DBA) Nimiipuu Health

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Lapwai, ID
  • NPI 1790795888
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1174632012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 SOUTH LEATON ROAD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-4605",
            "fax_number": "989-775-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 SOUTH LEATON ROAD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-4605",
            "fax_number": "989-775-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KIMBERLY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "R.N., C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704227621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "NOREEN",
            "middle_name": "RUTH",
            "prefix": "MRS.",
            "credential": "R.N., C-FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ambulatory Infusion Care, Inc.
• American DME and Medical Supply, Inc.
• Shamel Amin, M.D.
• Nicole Danielle Amon
• Carla Marie Anderson, ND
• Lisa L Anderson, LPC
• John M Andraka, DPT
• Kristin Marie Ash Andraka, DPT
• Jeffrey Joseph Angera, PH.D.
• Angul Corp

• Family Nurse Practitioner in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.