Active NPI
Vianca Anderson, LPC
- Athletic Trainer
- Aiken, SC
National Provider Identifier
1447894944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 7131
- Practice address
- 407 Hayne Ave SW Ste B
Aiken, SC 29801-2408 - Phone
- (803) 716-8867
- NPI assigned
- Oct 29, 2019
- Last updated
- Oct 18, 2020
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 7131 | SC | Primary |
Addresses
Primary practice location
407 Hayne Ave SW Ste B
Aiken, SC 29801-2408
Mailing address
111 E Marion Ave # 141
North Augusta, SC 29841-2935
Phone (803) 716-8867
Other practice location 1
254 Beaufort St NE
Aken, SC 29801
Phone (803) 716-8867
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7131 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1447894944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E MARION AVE # 141",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298412935",
"telephone_number": "803-716-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 HAYNE AVE SW STE B",
"city": "AIKEN",
"state": "SC",
"postal_code": "298012408",
"telephone_number": "803-716-8867"
}
],
"practiceLocations": [
{
"address_1": "254 Beaufort St NE",
"address_purpose": "LOCATION",
"city": "Aken",
"state": "SC",
"postal_code": "29801",
"country_code": "US",
"telephone_number": "803-716-8867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "VIANCA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "7131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
- Tejasri Reddy Ananthula, MD
- Anchor Rehabilitation and Healthcare Center of Aiken, LLC
- Audrey Anderson
- Gary Wayne Anderson
- Jonathan Hal Anderson, M.D., F.A.C.S.
- Angel's Play LLC
- Angela Fallaw Zaremba DPM PA (Aiken Podiatry Center)
- Andreina Dodson Angle, RNC WHNP
- Stephanie Ansley
- Anthony E. Harris MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.