Stephen Craig Anderson, R.N.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN00113199 Issued in WA

Practice address

626 Prichett CT
Fort Collins, CO 80525-8229

Phone

(206) 795-2831

NPI assigned

Feb 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1740640143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 PRICHETT CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258229",
            "telephone_number": "206-795-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 PRICHETT CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258229",
            "telephone_number": "206-795-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHEN",
        "middle_name": "CRAIG",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00113199",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "459747",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WA",
            "license": "RN00113199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Scott Anderson, MD
• Samantha Anderson
• Sharon Anderson, PH.D.
• Shawna Lynn Anderson, MPT
• Spencer Anderson, MSW, LCSW
• Susan C Anderson
• Tami Annette Anderson, M.S.
• Thomas Michael Anderson, DO
• Timothy Warren Anderson, DDS
• Virginia Erin Anderson, MPA, PA-C

• Administrator Registered Nurse in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Administrator Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.