Active NPI
Trudy Mae Anderson, RN
- Specialist
- Chino Valley, AZ
National Provider Identifier
1336202936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1344 E Meadow Lane
Chino Valley, AZ 86323-5749 - Phone
- (928) 636-5541
- Fax
- (923) 636-7631
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AZ | Primary |
Addresses
Primary practice location
1344 E Meadow Lane
Chino Valley, AZ 86323-5749
Mailing address
PO Box 1140
Chino Valley, AZ 86323-1140
Phone (928) 636-5541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719007 | Other | AZ | STATE OF AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336202936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1140",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863231140",
"telephone_number": "928-636-5541",
"fax_number": "923-636-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 E MEADOW LANE",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863235749",
"telephone_number": "928-636-5541",
"fax_number": "923-636-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TRUDY",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF AZ",
"identifier": "719007",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chino Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.