Active NPI
Joellen Gardner Anderson, RN
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1184904468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 00166297
- Practice address
- 9600 Veterans Dr
Tacoma, WA 98493-0001 - Phone
- (253) 582-8440
- Fax
- (253) 589-4107
- NPI assigned
- Aug 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 00166297 | WA | Primary |
Addresses
Primary practice location
9600 Veterans Dr
Tacoma, WA 98493-0001
Mailing address
9600 Veterans Dr
Tacoma, WA 98493-0001
Phone (253) 582-8440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 00166297 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1184904468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 VETERANS DR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930001",
"telephone_number": "253-582-8440",
"fax_number": "253-589-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930001",
"telephone_number": "253-582-8440",
"fax_number": "253-589-4107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOELLEN",
"middle_name": "GARDNER",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN 00166297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.