DR. TIMOTHY JOSEPH ANDERSON DNP APRN ACPNC-AG NPI 1831735711

NPI Information

NPI: 1831735711
Provider Name: DR. TIMOTHY JOSEPH ANDERSON, DNP, APRN, ACPNC-AG
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1012 LUCERNE TER
ORLANDO, FL
ZIP 32806
Phone: (407) 423-1039
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DR. Timothy Joseph Anderson, DNP, APRN, ACPNC-AG is an adult health nurse practitioner in Orlando, FL with 5 years of experience. DR. Timothy Joseph Anderson, DNP, APRN, ACPNC-AG NPI is 1831735711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1012 LUCERNE TER
ORLANDO, FL
ZIP 32806-015
Phone: (407) 423-1039

The NPI 1831735711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/26/2019 and was last updated on 4/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	APRN11005102	FLORIDA	No
2	363LA2200X	Nurse Practitioner	Adult Health	APRN11005102	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105046900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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