Carolee Anderson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704200317 Issued in MI

Practice address

1011 Military St
Port Huron, MI 48060-5416

Phone

(810) 488-8000

Fax

(810) 488-8005

NPI assigned

Jul 31, 2015

Last updated

Jul 31, 2015By 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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • Algonac, MI
  • NPI 1851399570
  Medicare reassignment NPD
• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • Port Huron, MI
  • NPI 1184935488
  NPD
• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Haven, MI
  • NPI 1679571392
  NPD

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1992181945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SAINT CLAIR RIVER DR",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "480011802",
            "telephone_number": "810-794-4982",
            "fax_number": "810-794-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605416",
            "telephone_number": "810-488-8000",
            "fax_number": "810-488-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CAROLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704200317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Amend
• Melissa Amos
• Mary Catherine Amyot
• Anchor Counseling Services, LLC
• Amy Lynn Anderson, RN
• David S Anderson, CRNA
• Kristin Lynn Anderson, BSW
• Lloyd Anderson
• Lynne M Anderson
• Richard Thomas Anderson, M.D.

• Family Nurse Practitioner in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.