Micayla Paige Andersen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342670 Issued in NY

Practice address

35 E 19TH St
New York, NY 10003-1313

Phone

(212) 390-0992

NPI assigned

Jun 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1619407962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 52ND ST APT 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195037",
            "telephone_number": "603-819-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031313",
            "telephone_number": "212-390-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "MICAYLA",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "716584",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619407962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline L Andersen, LCSW
• Erica Andersen, PT, DPT
• Holly Andersen, MD
• James Joseph Andersen II, MD
• Kira Andersen, LCSW
• Ryan Andersen
• Scott Michael Andersen, D.C.
• Shannon M Andersen, BSN, FNP-BC, AOCNP
• Susan M. Andersen, PH.D.
• Anderson Peak Performance Inc.

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.