Erica Leonna Anderson, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

903975 Issued in MS

Practice address

101 Lexington Dr
Madison, MS 39110-6985

Phone

(601) 707-3771

NPI assigned

Oct 26, 2020

Last updated

Feb 11, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eanderson@trustcarehealth.com
• Direct secure messaging: erica.anderson.1@19538.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4

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.

• Gluckstadt TC Kids, LLC

  • Pediatrics Physician
  • Madison, MS
  • NPI 1255947297
  Medicare reassignment NPD
• Trustcare Health, LLC

  dba Trust Care Health

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1427338235
  NPD (past)
• Trustcare Kids, LLC

  • Pediatrics Physician
  • Brandon, MS
  • NPI 1376321570
  NPD (past)

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1215537659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LEXINGTON DR STE A",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106986",
            "telephone_number": "601-707-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEXINGTON DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106985",
            "telephone_number": "601-707-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERICA",
        "middle_name": "LEONNA",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "903975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Eanderson@trustcarehealth.com",
            "affiliation": "N",
            "address_1": "101 Lexington Dr",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391106985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ghaith Aleithawe
• Ashley Alexander
• Kimberly Allen, PHARMD
• Allpharm Inc. (Select Medical)
• Raha Amini
• Lisa D Anderson, M.D.
• Kelly Antici, PHARMD
• Doug Archer, HIS
• Armstrong & Dyre Dental, P.C.
• Bradford A Armstrong, DMD

• Pediatric Nurse Practitioner in Madison, MS
• Providers in Madison, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.