Organization Active NPI

Michelle M. Anderson FNP, P.a.

  • Family Nurse Practitioner
  • Sandpoint, ID
National Provider Identifier
1396983052
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-802A Issued in ID
Legal business name
MICHELLE M. ANDERSON FNP, P.A.
Practice address
710 Superior St Ste B
Sandpoint, ID 83864-1684
Phone
(208) 265-2225
Fax
(208) 265-2229
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle M Anderson, ARNP
Title
President
Phone
(208) 265-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NP-802A ID Primary

Addresses

Primary practice location

710 Superior St Ste B
Sandpoint, ID 83864-1684

Mailing address

710 Superior St Ste B
Sandpoint, ID 83864-1684
Phone (208) 265-2225

National Provider Directory

National Provider Directory

Locations

1207 Michigan St
Ste C
Sandpoint, ID 83864
Phone (208) 265-2221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1396983052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SUPERIOR ST STE B",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641684",
            "telephone_number": "208-265-2225",
            "fax_number": "208-265-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUPERIOR ST STE B",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641684",
            "telephone_number": "208-265-2225",
            "fax_number": "208-265-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE M. ANDERSON FNP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-265-2225",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-802A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.