Amanda Katheryn Anderson, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

18023 Wild Willow LN
Katy, TX 77449-4438

Phone

(936) 332-5917

NPI assigned

Sep 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anderson Sa LLC

  • Surgical Physician Assistant
  • Katy, TX
  • NPI 1205442423

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1972118727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18023 WILD WILLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494438",
            "telephone_number": "936-332-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18023 WILD WILLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494438",
            "telephone_number": "936-332-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23920 Katy Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774940881",
            "country_code": "US",
            "telephone_number": "936-332-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMANDA",
        "middle_name": "KATHERYN",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "198003",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchor Dental, P.C.
• Anchor Point Residential LLC
• Anchored Joy Mental Health Services PLLC
• Jennifer Ander, PT, DPT
• Anderson Sa LLC
• Bianca Alexis Anderson
• Brent Anderson, MA, LPC
• Elizabeth Anderson, DPT
• Jasmine Anderson, RBT
• Kalen Anderson

• Surgical Physician Assistant in Katy, TX
• Providers in Katy, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.