Kenneth Stephen Anderson, CRNA

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

RN187319L Issued in PA

Practice address

201 State St
Erie, PA 16550-0002

Phone

(814) 877-2080

Fax

(814) 877-6070

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• K Stephen Anderson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710026422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 BIEBEL AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092846",
            "telephone_number": "814-864-7775",
            "fax_number": "814-877-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-2080",
            "fax_number": "814-877-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KENNETH",
        "middle_name": "STEPHEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "PA",
            "license": "RN187319L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K",
            "last_name": "ANDERSON",
            "middle_name": "STEPHEN",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anchor Counseling Associates
• Emily Mackenzie Anderson, DO
• Jenna M Anderson, MS, LPC, NCC
• Kaitlyn Anderson, DPT
• Kendra Anderson, PA-C
• Kristen K Anderson, RDH
• Lauren Anderson, CRNP
• Marcia Devon Anderson, NCC, LPC
• Matthew C Anderson
• Richard J Anderson Jr., MD

• Chore Provider in Erie, PA
• Providers in Erie, PA by specialty
• Chore Provider in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.