Stefanie Anderson-Nassar

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003285 Issued in MI

Practice address

2414 Lake Lansing Rd
Lansing, MI 48912-3618

Phone

(517) 371-4712

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lansing Pediatric Associates, P.C.

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1902063530
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386863637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 TIFFANY LN",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488428728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123618",
            "telephone_number": "517-371-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-NASSAR",
        "first_name": "STEFANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Duane Ampey, LCSW
• Anahata Consulting PLLC
• Dana Anayi
• Michael Thomas Andary, M.D.
• Makayla Andersen, ND, CNS
• Andrew Mark Anderson, DO
• Ashley Anderson
• Cheri G Anderson, LMSW
• Christopher R Anderson
• David R Anderson, MD

• All providers in Lansing, MI
• Medical Physician Assistant in Michigan

• 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.

Verify at the official NPI Registry.