Misty Jo Anderson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577

Phone

(760) 499-7406

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• College Community Services

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2019.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1780243600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST STE 133",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552577",
            "telephone_number": "760-499-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST STE 133",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552577",
            "telephone_number": "760-499-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MISTY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".com",
            "affiliation": "N",
            "address_1": "1400 N Norma St Ste 133",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935552577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Minu Ambika Rajendran, MD
• Amy K. Rothermel Au.D. LLC
• Anderson Dental Hygiene Practice, Kieresten Anderson, Rdhap
• Cierra Jean Anderson
• Kieresten R Anderson, RDHAP
• Antelope Valley Lung Institute Medical Group
• Antelope Valley Lung Institute Medical Group
• Antelope Valley Lung Institute Medical Group
• Andrew Arellano
• Crystal Elise Arellano, LVN

• All providers in Ridgecrest, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.