Individual provider Active NPI

Allison Anderson, PNP

  • Pediatric Nurse Practitioner
  • Redwood City, CA
National Provider Identifier
1861908238
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95007352 Issued in CA
Practice address
570 Price Ave Ste 400
Redwood City, CA 94063-1433
Phone
(650) 466-6224
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95007352 CA Primary

Addresses

Primary practice location

570 Price Ave Ste 400
Redwood City, CA 94063-1433

Mailing address

337 20TH Ave
San Francisco, CA 94121-2204

Other practice location 1

1000 S Eliseo Dr Ste 101
Greenbrae, CA 94904-2150
Phone (415) 461-8909

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007352CAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: abeattie107629@direct-ucsfmedicalcenter.org

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1861908238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 20TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 PRICE AVE STE 400",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631433",
            "telephone_number": "650-466-6224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Eliseo Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "949042150",
            "country_code": "US",
            "telephone_number": "415-461-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALLISON",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95007352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.