Alicia Anderson, APRN
Individual provider Active NPI Family Nurse Practitioner · Mount Washington, KY
NPI 1639748569 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1639748569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3016296 (KY)
- Practice address
- 138 Eastbrooke CT Unit 115
Mount Washington, KY 40047-5570 - Phone
- (502) 617-4068
- NPI assigned
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016296 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Washington Pediatrics PLLC | Family | Current |
Accepting new patients |
Locations
138 Eastbrooke Ct
Unit 115
Mount Washington, KY 40047
Phone (502) 617-4068
231 Midland Park
Shelbyville, KY 40065
Phone (502) 633-6040
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEABED/Endpoint/EEABED
- alicia.anderson.1@30410.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016296 | KY | Yes |
Addresses
Primary practice location
138 Eastbrooke CT Unit 115
Mount Washington, KY 40047-5570
Mailing address
138 Eastbrooke CT Unit 115
Mount Washington, KY 40047-5570
Phone (502) 617-4068
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100961760 | Medicaid | KY | |
| 1013784982 | Other | NPI |
Other providers in Mount Washington, KY
- Gustavo Alcantara Ocampo
- All American Transportation, LLC
- Copley Marie Allen
- Joshua David Allen
- Alternative Adult Day Health Care Center
- Kelsey Anderson
- Tonda M. Anderson
- Anesthesia Services of Kentucky
- Angie Arbaugh LLC Dba Salt River Mental Health
- Aptiva Health
All providers in Mount Washington, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.