Joanna Anders, ANP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

88000344 Issued in OR

Practice address

345 N Grant St
Canby, OR 97013-3610

Phone

(503) 266-2066

Fax

(503) 263-8719

NPI assigned

Jun 28, 2005

Last updated

Apr 21, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: janders12427@direct.lhs.org

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1669478277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N GRANT ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133610",
            "telephone_number": "503-266-2066",
            "fax_number": "503-263-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N GRANT ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133610",
            "telephone_number": "503-266-2066",
            "fax_number": "503-263-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "88000344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292397",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Canby, OR
• Providers in Canby, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.