Active NPI
Wendy Lou Anderson
- Child Mental Illness Respite Care
- Gilbert, AZ
National Provider Identifier
1821203449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- License
- 4542
- Practice address
- 18128 E Sunnybrook LN
Gilbert, AZ 85297 - Phone
- (520) 560-9225
- Fax
- (520) 876-9823
- NPI assigned
- May 14, 2007
- Last updated
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 4542 | AZ | Primary |
Addresses
Primary practice location
18128 E Sunnybrook LN
Gilbert, AZ 85297
Mailing address
1479 E Douglas St
Casa Grande, AZ 85122-1745
Phone (520) 560-9225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1821203449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 E DOUGLAS ST",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851221745",
"telephone_number": "520-560-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18128 E SUNNYBROOK LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85297",
"telephone_number": "520-560-9225",
"fax_number": "520-876-9823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "WENDY",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "4542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.