Organization Active NPI

Anderson,Andrea

  • Contractor
  • Akron, OH
National Provider Identifier
1962816678
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
ANDERSON,ANDREA
Practice address
1020 Silvercrest Ave
Akron, OH 44314-2732
Phone
(330) 869-0630
NPI assigned
Jun 20, 2014
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Mrs. Andrea Anderson
Title
Independent
Phone
(330) 869-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU Primary

Addresses

Primary practice location

1020 Silvercrest Ave
Akron, OH 44314-2732

Mailing address

1020 Silvercrest Ave
Akron, OH 44314-2732
Phone (330) 869-0630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1962816678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SILVERCREST AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443142732",
            "telephone_number": "330-869-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SILVERCREST AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443142732",
            "telephone_number": "330-869-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON,ANDREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "INDEPENDENT",
        "authorized_official_telephone_number": "330-869-0630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.