Dana Anderson, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Redding, CA
NPI 1750151742 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1750151742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95028537 (CA)
- Practice address
- 2510 Airpark Dr Ste 201
Redding, CA 96001-2461 - Phone
- (530) 244-4034
- NPI assigned
- Jan 2, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240306003208 | CA | Practitioner - Nurse Practitioner | 9931545415 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95028537 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Family Medical Group Inc | Current |
Accepting new patients | |
| Dignity Health | Past |
Accepting new patients |
Locations
2510 Airpark Dr
Ste 201
Redding, CA 96001
Phone (530) 244-4034
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95028537 | CA | Yes |
Addresses
Primary practice location
2510 Airpark Dr Ste 201
Redding, CA 96001-2461
Mailing address
20026 Portero Dr
Redding, CA 96003-7463
Phone (530) 524-2120
Other providers in Redding, CA
- Adithya Andanappa
- Kay Miller Andersen
- Guillerma (Emma) Anderson-Smith
- Annika Anderson
- Charllotte Nicolle Anderson
- Dana R Anderson
- Gabriel Andrew Anderson
- Jarred Anderson
- Kendon Lloyd Anderson
- Krystal Marie Anderson
All providers in Redding, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.