Wesley Scott Anderson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

854438 Issued in CO

Practice address

421 21St Ave
Longmont, CO 80501-1469

Phone

(303) 772-9600

NPI assigned

Mar 17, 2021

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Mar 17, 2021.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1710562012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3468",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805173468",
            "telephone_number": "303-995-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 21ST AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011469",
            "telephone_number": "303-772-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WESLEY",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "854438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Anderson
• Kristi A. Anderson, PT
• Kyrie Nicole Anderson, NP
• Leeanna R Anderson, LPN
• Tylor S Anderson, D.C.
• Maria Guadalupe Andrade Robles
• Jill Denise Andrews, OT
• Sandra Lynn Andrews, MD
• Ana Andrick, RDH
• Anesthesia4U, PC

• All providers in Longmont, CO
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.