MRS. KIM ANDERSON FNP-BC NPI 1841729985

NPI Information

NPI: 1841729985
Provider Name: MRS. KIM ANDERSON, FNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2845 N SHERIDAN ROAD
SUITE 907
CHICAGO, IL
ZIP 60657
Phone: (773) 295-0707
Get Directions

MRS. Kim Anderson, FNP-BC is a psychiatric/mental health nurse practitioner in Chicago, IL with 7 years of experience. MRS. Kim Anderson, FNP-BC NPI is 1841729985. 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:

2845 N SHERIDAN ROAD
SUITE 907
CHICAGO, IL
ZIP 60657
Phone: (773) 295-0707
Fax: (872) 243-2843

The NPI 1841729985 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 6/10/2017 and was last updated on 4/20/2022.

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	101YM0800X	Counselor	Mental Health			No
2	363LF0000X	Nurse Practitioner	Family	832075	NEVADA	No
3	363LF0000X	Nurse Practitioner	Family	28194001A	INDIANA	No
4	363LF0000X	Nurse Practitioner	Family	209017385	ILLINOIS	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	277001265	ILLINOIS	Yes

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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