Keri Ann Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

25-451575 Issued in NC

Practice address

210 Charlois Blvd
Winston Salem, NC 27103-1508

Phone

(704) 440-3580

NPI assigned

Mar 11, 2026

Last updated

Mar 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1972450732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 TROTTER COUNTRY RD",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272634077",
            "telephone_number": "336-407-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031508",
            "telephone_number": "704-440-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KERI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "25-451575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anderson, NP
• Jane Anderson, RDN
• Jennifer Lazo Anderson, PHARMD
• John Palmer Anderson, MA.ED
• John T Anderson II, LCMHC-A
• Kim Gwynn Anderson
• Latonya Yvette Anderson
• Lynn Bivins Anderson, MD
• Madalyn Anderson, BCBA
• Margaret Espinoza Anderson, LPC

• Behavior Technician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.