Antoinette Kimerer Anderson, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

439129 Issued in TX

Practice address

5737 Cullen Blvd
Houston, TX 77021-1665

Phone

(813) 440-7313

NPI assigned

Oct 19, 2006

Last updated

Jun 16, 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tyler Family Circle of Care

  dba Family Circle of Care

  • Community/Retail Pharmacy
  • Tyler, TX
  • NPI 1942011903
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1679655567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 CULLEN BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211665",
            "telephone_number": "813-440-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 CULLEN BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211665",
            "telephone_number": "813-440-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANTOINETTE",
        "middle_name": "KIMERER",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "439129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036804502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090047401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "439129",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86N732",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyse Anderson, FNP-C
• Amber Nicole Anderson, LPC
• Angela Charity Anderson, LCSW
• Angela Rose Anderson, M.S., CCC-A
• Anne Elizabeth Anderson, M.D.
• Antonio Lee Anderson
• Ashley Elise Long Anderson, M.D.
• Balistine Antherean Anderson, PHYSICIAN ASSISTANT
• Berkley Kingman Anderson, PA-C
• Billy Ray Anderson, CRNA

• Midwife in Houston, TX
• Providers in Houston, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.