Active NPI
Allison H Anderson, M.D.
- Pediatrics Physician
- Kansas City, KS
National Provider Identifier
1194723619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0423071
- Practice address
- 21 N 12TH St
Suite 300
Kansas City, KS 66102-5161 - Phone
- (913) 342-2552
- Fax
- (913) 342-3220
- NPI assigned
- Jul 8, 2005
- Last updated
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0423071 | KS | Primary |
| Pediatrics Physician | 208000000X | R9H85 | MO |
Addresses
Primary practice location
21 N 12TH St
Suite 300
Kansas City, KS 66102-5161
Mailing address
14007 Benson St
Overland Park, KS 66221-2108
Phone (913) 897-5832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100151430B | Medicaid | KS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0423071 | KS | MD | Pediatrics Physician |
| R9H85 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1194723619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14007 BENSON ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662212108",
"telephone_number": "913-897-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 N 12TH ST",
"address_2": "SUITE 300",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661025161",
"telephone_number": "913-342-2552",
"fax_number": "913-342-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ALLISON",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "0423071",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R9H85",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100151430B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.