Anderson Sa LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ANDERSON SA LLC

Practice address

18023 Wild Willow LN
Katy, TX 77449-4438

Phone

(936) 332-5917

NPI assigned

Sep 22, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amanda Katheryn AndersonNPI 1972118727

Title

Owner

Phone

(936) 332-5917

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Katheryn Anderson, CSFA

  • Surgical Physician Assistant
  • Katy, TX
  • NPI 1972118727

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1205442423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18023 WILD WILLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18023 WILD WILLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494438",
            "telephone_number": "936-332-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23920 Katy Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774940881",
            "country_code": "US",
            "telephone_number": "936-332-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDERSON SA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "KATHERYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-332-5917",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Ander, PT, DPT
• Amanda Katheryn Anderson, CSFA
• Bianca Alexis Anderson
• Brent Anderson, MA, LPC
• Elizabeth Anderson, DPT
• Jasmine Anderson, RBT

• Surgical Physician Assistant in Katy, TX
• Providers in Katy, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.