Nancy Jean Anderson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C037290416 Issued in CA

Practice address

737 E Grand Ave
Escondido, CA 92025-4404

Phone

(760) 745-8478

Fax

(760) 745-6852

NPI assigned

Mar 26, 2018

Last updated

Mar 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• The Fellowship Center Alcohol Services Program, Inc.

  • Substance Abuse Rehabilitation Facility
  • Escondido, CA
  • NPI 1902808744
  NPD

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1497250161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 CITRACADO PKWY SPC 40",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294127",
            "telephone_number": "760-745-8478",
            "fax_number": "760-745-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254404",
            "telephone_number": "760-745-8478",
            "fax_number": "760-745-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C037290416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC-CAS",
            "identifier": "C037290416",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Lynn Anderson, RPH
• Charlene Mary Anderson
• Gillian Anderson
• Isabella Anderson
• Kelly Janine Anderson, SUDRC I #24481
• Rob Anderson
• Wilma Gail Anderson, MS, CRC
• Melissa Andrade Lopez
• Ileana Andrade
• Sierra Andrew

• Addiction (Substance Use Disorder) Counselor in Escondido, CA
• Providers in Escondido, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.