Jamie L Anderson, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1363 Issued in TN

Practice address

100 Corporate Woods
C/O Evercare
Rochester, NY 14623-1467

Phone

(585) 463-3100

Fax

(585) 463-3105

NPI assigned

Aug 15, 2006

Last updated

Jun 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1770696999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLAKESLEE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146092209",
            "telephone_number": "585-260-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE WOODS",
            "address_2": "C/O EVERCARE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231467",
            "telephone_number": "585-463-3100",
            "fax_number": "585-463-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldrie A Anderson
• Hannah Elizabeth Anderson, PA-C
• Heather Marie Anderson, CASAC-T
• Hester Anderson
• Jackie Mae Anderson, DO
• Jared Joseph Anderson, D.C.
• Jennifer Lynn Anderson
• Kevonna Lynessa Anderson, LPN
• Kristophe Mikhail, Anthony Anderson, MD
• Kristopher W Anderson

• Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.