Active NPIIndividual provider

Katie L Anderson, PA

Physician Assistant in Plainfield, Connecticut

NPI Number1104195833
Practice location
1421 Lowes Way, Plainfield, CT 06374-1963
Fax
860-317-4030
Last updated
November 3, 2017

Katie L. Anderson is a Physician Assistant based in Plainfield, CT. Katie L. Anderson practices in Plainfield, CT and has the professional credentials of PA. The NPI Number for Katie L. Anderson is 1104195833 and holds a License No. 2087 (TN). The current practice location address for Katie L. Anderson is 1421 Lowes Way, Plainfield, CT 06374-1963 and can be reached out via phone at 860-317-4000 and via fax at 860-317-4030.

Provider Profile Details

NPI Number
1104195833
Provider Name
Katie L. Anderson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1421 Lowes Way, Plainfield, CT 06374-1963
Phone Number
860-317-4000
Fax Number
860-317-4030
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Katie L Sandlin (Former Name)
Provider Enumeration Date
December 27, 2011
Last Update Date
November 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1421 Lowes Way
Plainfield, CT 06374-1963
Zip
06374-1963
Phone Number
860-317-4000
Fax Number
860-317-4030
Plainfield, CT 06374Get directions →

Provider Business Mailing Address Details

Address
1421 Lowes Way
Plainfield, CT 06374-1963
City
Plainfield
State
CT
Zip
06374-1963
Phone Number
860-317-4000
Fax Number
860-317-4030

License Information

License Number (1)
2087
License State (1)
TN
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
3930
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katie L Anderson, PA?

The NPI number of Katie L Anderson, PA is 1104195833. It was assigned on December 27, 2011 and is currently active in the NPPES registry.

What is the specialty of Katie L Anderson, PA?

Katie L Anderson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in TN under license number 2087.

Where does Katie L Anderson, PA practice?

The practice location is 1421 Lowes Way, Plainfield, CT 06374-1963. The office can be reached at 860-317-4000 (phone) or 860-317-4030 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104195833 directly on the NPPES registry website.

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