Kathleen Marie Anderson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3722-16 Issued in WI

Practice address

W286N991 Shepherds Way
Waukesha, WI 53188-9493

Phone

(262) 896-9891

Fax

(262) 347-4999

NPI assigned

Jul 23, 2013

Last updated

Jul 23, 2013By 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

Practice roles

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

• Smiles 4 Life Inc.

  • Dental Hygienist
  • Waukesha, WI
  • NPI 1649616731
  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1972945566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HIGHLAND ST",
            "city": "WESTBY",
            "state": "WI",
            "postal_code": "546671210",
            "telephone_number": "608-634-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W286N991 SHEPHERDS WAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531889493",
            "telephone_number": "262-896-9891",
            "fax_number": "262-347-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3722-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila Anderson-Fernandez, RN
• Amy J Anderson, APNP
• Imelda Mary Anderson, REGISTERED NURSE
• Jason Anderson, LAT
• Kaity Anderson, LPC-IT
• Lisa Annette Anderson, LPN
• Molly Lyn Anderson, WHNP-BC
• Rachel Leman Anderson, PA-C
• Katherine Elizabeth Andrew, APNP
• Susan A. Andrews

• Dental Hygienist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.