Kimberly Anderson, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

1071-61 Issued in WI

Practice address

465 Henry Mall RM 410
Madison, WI 53706-1501

Phone

(605) 262-0402

NPI assigned

Jun 11, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2024.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1750123527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 HENRY MALL RM 410",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537061501",
            "telephone_number": "605-262-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 HENRY MALL RM 410",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537061501",
            "telephone_number": "605-262-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KIMBERLY",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WI",
            "license": "1071-61",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lea Anderson, MA LPC NCC
• Jessica Lynn Anderson
• Jonathan S Anderson, M.D.
• Karee Anderson
• Karen S Anderson, CNM, APNP
• Kortney L Anderson, PA-C
• Kristen L Anderson, CRNA
• Lindsey Anderson, LMFT
• Madeleine Anderson
• Marilee Anderson

• All providers in Madison, WI
• Genetic Counselor (M.S.) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.