Amber Faye Anderson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60452546 Issued in WA

Practice address

2700 Northup Way
Bellevue, WA 98004-1463

Phone

(425) 827-4600

NPI assigned

Apr 27, 2014

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Kittitas County Public Hospital Dist 1

  • Critical Access Hospital
  • Ellensburg, WA
  • NPI 1356375307

  WA

  Medicare reassignment NPD
• Kittitas County Public Hosp Dist 1

  • Urology Physician
  • Ellensburg, WA
  • NPI 1437029832
  NPD
• Kittitas County Public Hospital Dist 1

  • Specialist
  • Ellensburg, WA
  • NPI 1790910057
  NPD
• Kittitas County Public Hospital Dist 1

  • Rural Health Clinic/Center
  • Ellensburg, WA
  • NPI 1932115391
  NPD (past)

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

{
    "created_epoch": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1588084792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14711 NE 29TH PL",
            "address_2": "SUITE #255",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980077666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NORTHUP WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041463",
            "telephone_number": "425-827-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMBER",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-27",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60452546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Anderegg Jr., DDS
• Christopher M Andersen, MD
• Stephen Christopher Andersen, DDS
• Adin Mitchell Anderson
• Adrienne M Anderson, LICSW
• Arthur Eric Anderson, M.D.
• Aurora Anderson
• Cynthia Ruth Anderson, BA, MHC
• Dana Anderson, LICSW
• Donna Marie Anderson, RN

• All providers in Bellevue, WA
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.