Andrea R Anderson, FNP PHD
Individual provider Active NPI Family Nurse Practitioner · Oakland, CA
NPI 1265468375 · NPPES record last updated Nov 30, 2017
Key facts
- NPI
- 1265468375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 419470 (CA)
- Practice address
- 384 Embarcadero W
Oakland, CA 94607-3735 - Phone
- (510) 465-9565
- Fax
- (510) 465-3840
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 419470 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aai Health Services | Family | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/7087/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 419470 | CA | Yes |
Addresses
Primary practice location
384 Embarcadero W
Oakland, CA 94607-3735
Mailing address
1001 Shoreline Dr # 105
Alameda, CA 94501-5969
Phone (510) 769-1079
Other names
- Ms. Roswitha Andrea Anderson
Other providers in Oakland, CA
- Alganesh Andemariam
- Neami Andemariam
- Eric Anders
- Jordan Elyse Andersen
- Perrie Montrell Andersen
- Angela Monique Anderson
- April Michelle Anderson
- Carljuan Anthony Anderson III
- Carrie F. Anderson
- Charles Anderson
All providers in Oakland, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.