Kesley Anderson, RN

Key facts

NPI

1376401877

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

RN215174 (GA)

Practice address

1165 Northchase Pkwy SE Ste 250
Marietta, GA 30067-6432

Phone

(470) 432-5528

NPI assigned

Jan 13, 2026

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2026.

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1376401877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTHCHASE PKWY SE STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676432",
            "telephone_number": "470-432-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NORTHCHASE PKWY SE STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676432",
            "telephone_number": "470-432-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KESLEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN215174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

• Christopher Michael Anderson, DMD
• Cynthia Anderson, LMT
• Herman Anderson, LMT
• James David Anderson, DMD
• Julie Anderson, D.C.
• Lance Christian Anderson
• Melissa Anderson, MSN, FNP-C
• Sharon Kay Anderson, P T
• Steven Anderson, DMD
• Tatiana Anderson, NP

All providers in Marietta, GA · Registered Nurse in Georgia