Kimberly Ruth Anderson, R.N., C-FNP
Individual provider Active NPI Family Nurse Practitioner · Mount Pleasant, MI
NPI 1174632012 · NPPES record last updated Mar 1, 2016
Key facts
- NPI
- 1174632012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704227621 (MI)
- Practice address
- 2591 South Leaton Road
Mount Pleasant, MI 48858 - Phone
- (989) 775-4605
- Fax
- (989) 775-4680
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epmg of Michigan, P.C. | Past |
Accepting new patients | |
| Twin Family Medical PC | Past | Accepting new patients | |
| Shepherd Clinic PLC | Past | Accepting new patients | |
| Nez Perce Tribal Health Authority | Past | Accepting new patients |
Interoperability endpoints
- kanderson48003@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704227621 | MI | Yes |
Addresses
Primary practice location
2591 South Leaton Road
Mount Pleasant, MI 48858
Mailing address
2591 South Leaton Road
Mount Pleasant, MI 48858
Phone (989) 775-4605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5008775960 | Other | MI | BCBSM |
| 500B910710 | Other | MI | BCBSM |
Other names
- Mrs. Kimberly Ruth Noreen
Other providers in Mount Pleasant, MI
- Ambulatory Infusion Care, Inc.
- American DME and Medical Supply, Inc.
- Shamel Amin
- Nicole Danielle Amon
- Carla Marie Anderson
- Lisa L Anderson
- John M Andraka
- Kristin Marie Ash Andraka
- Jeffrey Joseph Angera
- Angul Corp
All providers in Mount Pleasant, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2016. 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.