Carrie Anderson, RYT200

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

15517 W Ironwood St
Surprise, AZ 85374-8825

Phone

(602) 989-0106

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1962097642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15517 W IRONWOOD ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748825",
            "telephone_number": "602-989-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15517 W IRONWOOD ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748825",
            "telephone_number": "602-989-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CARRIE",
        "credential": "RYT200",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrie.loveflow.anderson@outlook.com",
            "affiliation": "N",
            "address_1": "15517 W Ironwood St",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853748825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jena Rose Anaya
• Andrea Yuriko Andersen, RDN
• Allyson Doreen Anderson, M.A., CCC-SLP
• Amy Rose Anderson, LVN
• Brittany Anderson, NP
• Haley Anderson
• Lyndsay Anderson
• Tiffany R Anderson, PA-C
• Andicare LLC
• Sandra Luz Andrade, RN

• Rehabilitation Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Rehabilitation Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.