KRISTI LYNN ANDERSON FNP-C NPI 1821784141

NPI Information

  • NPI: 1821784141
  • Provider Name: KRISTI LYNN ANDERSON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4100 LAKE DR SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 267-7400

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NPI Details

Kristi Lynn Anderson, FNP-C is a family nurse practitioner in Grand Rapids, MI with 2 years of experience. Kristi Lynn Anderson, FNP-C NPI is 1821784141. 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:

4100 LAKE DR SE
GRAND RAPIDS, MI
ZIP 49546-292
Phone: (616) 267-7400

The NPI 1821784141 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 4/11/2023 and was last updated on 11/4/2024.

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
1363LF0000XNurse PractitionerFamily4704329036MICHIGANYes

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: 3/30/2025

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