Collin Anderson
Individual provider Active NPI Health Educator · Rogers, AR
NPI 1972137586 · NPPES record last updated Feb 24, 2020
Key facts
- NPI
- 1972137586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 2112 S 54TH St
Rogers, AR 72758-8169 - Phone
- (913) 683-0477
- NPI assigned
- Feb 24, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
2112 S 54TH St
Rogers, AR 72758-8169
Mailing address
2710 S Rife Medical LN
Rogers, AR 72758-1452
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.