Donna Marie Anderson, L.M.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA12316 Issued in FL

Practice address

1342 Timberlane Rd
Suite 102-B
Tallahassee, FL 32312-1762

Phone

(850) 893-6868

Fax

(950) 894-7023

NPI assigned

May 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538360771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 TIMBERLANE RD",
            "address_2": "SUITE 102-B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121762",
            "telephone_number": "850-893-6868",
            "fax_number": "950-894-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 TIMBERLANE RD",
            "address_2": "SUITE 102-B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121762",
            "telephone_number": "850-893-6868",
            "fax_number": "950-894-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA12316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C5358",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE NUMBER",
            "identifier": "MA12316",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carnesia Anderson
• Chadera Anderson
• Charles Richard Anderson, LMHC
• Chloe Anderson
• Clyde Wayne Anderson, PH.D.
• Drew Anderson
• Holly-Anne Nickerson Anderson, D.MIN., MS, CRC
• Jaclyn B Anderson, MD
• Janae Mashell Anderson
• Karen L. Anderson, PH.D.

• Specialist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.