SHANI LEE ANDERSON NP RN NPI 1811474596

NPI Information

  • NPI: 1811474596
  • Provider Name: SHANI LEE ANDERSON, NP, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1280 MAIN ST
    WORCESTER, MA
    ZIP 01603
  • Phone: (508) 754-1141

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NPI Details

Shani Lee Anderson, NP, RN is a psychiatric/mental health nurse practitioner in Worcester, MA with 8 years of experience. Shani Lee Anderson, NP, RN NPI is 1811474596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1280 MAIN ST
WORCESTER, MA
ZIP 01603-801
Phone: (508) 754-1141

The NPI 1811474596 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 7/25/2018 and was last updated on 9/18/2018.

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
1101Y00000XCounselorNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN2270119MASSACHUSETTSYes

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: 11/21/2025

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