Nicholas Andersen, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

LRT-1601 Issued in ID

Practice address

9730 W Mossywood Dr
Boise, ID 83709-5392

Phone

(208) 954-7433

NPI assigned

Nov 29, 2016

Last updated

Nov 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1528501392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 W MOSSYWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095392",
            "telephone_number": "208-954-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 W MOSSYWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095392",
            "telephone_number": "208-954-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "NICHOLAS",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "ID",
            "license": "LRT-1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andel Pharmacy, LLC
• Bruce J Andersen, MD
• Franz Joseph Andersen, MS, LMSW
• Katherine K Andersen, MSN
• Katie Anne Andersen
• Sandra Andersen, LMSW
• Anderson Chiropractic Care, P.a.
• Emma Anderson-White, PHD
• Andrew Harold Anderson, RRT, RPFT
• Ash Anderson

• Registered Respiratory Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Registered Respiratory Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.