Maren Alenka Anderson

Key facts

NPI

1295401487

Entity type

Individual (NPI type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program 390200000X

Practice address

800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018

Phone

(405) 271-2316

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2021.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1295401487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 KINGSBURY LN",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731165313",
            "telephone_number": "405-365-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045018",
            "telephone_number": "405-271-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MAREN",
        "middle_name": "ALENKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

• La Donna Grace Anderson, MS REHAB. COUNSELING
• Lacie Jai Anderson, LPN
• Latoya Rena Anderson
• Lavone Marie Anderson, LPC
• Lori Suzette Anderson, DDS
• Mark Anderson, M.D.
• Mark A Anderson, PT, PHD, ATC
• Mary Pearson Anderson, MSW
• Matthew Anderson
• Matthew Shelton Anderson

All providers in Oklahoma City, OK · Student in an Organized Health Care Education/Training Program in Oklahoma