Cindy M Anderson, PHD

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R23958 Issued in ND

Practice address

1551 28TH Ave S
Grand Forks, ND 58201-6782

Phone

(701) 775-4251

NPI assigned

May 24, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801007844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 6TH AVE N",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032605",
            "telephone_number": "701-746-7104",
            "fax_number": "701-777-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 28TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016782",
            "telephone_number": "701-775-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CINDY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ND",
            "license": "R23958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BLUE CROSS BLUE SHIELD",
            "identifier": "19034",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53595",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Anderson, OT
• Beth Jean Anderson, APRN, CNP
• Breann Elizabeth Anderson, M.D.
• Carrie Lynn Anderson, LMT
• Cassie Noelle Anderson, SLP
• Gerri Lynn Anderson, LSW
• Heidi N Anderson, SLP
• Jessica Anderson, PHARM. D.
• Julie S Anderson, OTR/L
• Kari Lynn Anderson, FNP-C

• Women's Health Nurse Practitioner in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Women's Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.