Mary Katherine Anderson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-01754 Issued in NM

Practice address

Unm College of Nursing
MSC 09 5350
Albuquerque, NM 87131-0001

Phone

(505) 272-3984

Fax

(505) 272-8901

NPI assigned

Jul 3, 2006

Last updated

Feb 14, 2013By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1851320592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 QUINCY ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083512",
            "telephone_number": "505-239-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNM COLLEGE OF NURSING",
            "address_2": "MSC 09 5350",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-3984",
            "fax_number": "505-272-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO APN #",
            "identifier": "CNP-01754",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Anderson
• Marissa Diane Anderson
• Marjorie Patricia Anderson, MD
• Mark Spencer Anderson, M.D.
• Mary Jeanette Anderson, LMHC
• Michael A. Anderson, CRNA
• Mitchell Anderson, OTR/L
• Peter H Anderson, OD
• Rosemary L Anderson
• Samantha J Anderson, LSAA

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.