Active NPI
Michelle M. Anderson FNP, P.a.
- Family Nurse Practitioner
- Sandpoint, ID
National Provider Identifier
1396983052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-802A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Sandpoint, ID
- NPI 1457349557
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.