Sally Anderson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5376634031 Issued in KS

Practice address

901 SW Garfield Ave
Topeka, KS 66606-1670

Phone

(785) 354-9591

Fax

(785) 368-0714

NPI assigned

Dec 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: sally.anderson.1@14940.direct.athenahealth.com
• Direct secure messaging: sanderson2323@stormontvaildirect.org

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1255739660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S KANSAS AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121210",
            "telephone_number": "785-783-4080",
            "fax_number": "833-673-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW GARFIELD AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061670",
            "telephone_number": "785-354-9591",
            "fax_number": "785-368-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SALLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "76634",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5376634031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Rene Anderson
• Latricia Renee Anderson, LICENSED STYLIST
• Margaret Ellen Anderson, OT
• Natasha Anderson
• Paul W Anderson, APRN
• Samantha Maree Anderson, PHARM. D.
• Sarah Anderson
• Simone Anderson
• Thomas B Anderson, MD,PHD
• Tonia Lynn Anderson, LBSW

• All providers in Topeka, KS
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.