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MS. KATHLEEN LYNN ANDERSON
NPI 1083420020
Technician - Attendant Care Provider in Snowflake, AZ

Active since December 04, 2024PECOS Enrolled
4081 INDIAN BEND RD, SNOWFLAKE, AZ 85937(928) 666-1337 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kathleen Lynn Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN LYNN ANDERSON (NPI 1083420020) is an individual attendant care provider provider in Snowflake, Arizona and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083420020
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameMS. KATHLEEN LYNN ANDERSON
Location Address4081 INDIAN BEND RDSnowflake, AZ 85937-6521
Mailing Address4081 Indian Bend RdSnowflake, AZ 85937-6521 · (928) 666-1337
Phone(928) 666-1337
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 4, 2024
Last NPPES UpdateDecember 8, 2024
NPPES CertifiedDecember 8, 2024
✔ NPI 1083420020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Also ListedCounselor · PastoralTaxonomy 101YP1600X
4081 INDIAN BEND RD, Snowflake, AZ 85937
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Secondary Practice Location 1

Location 11924 W Village Dr Apt CPhoenix, AZ 85023-8023 · Phone (602) 688-4284

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen Lynn Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315413952
PECOS Enrollment IDI20260421000021
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAUTHIZ INDUSTRIES
Religious Nonmedical Practitioner
4081 INDIAN BEND RD
SNOWFLAKE, AZ 85937
Navajo County (602) 688-4284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Anderson's NPI number?

The NPI number for Kathleen Anderson is 1083420020. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Where is Kathleen Anderson located?

Kathleen Anderson practices at 4081 Indian Bend Rd, Snowflake, AZ 85937. The listed phone number is (928) 666-1337.

What is Kathleen Anderson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Is Kathleen Anderson enrolled in Medicare?

Yes. Kathleen Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Anderson was last updated on December 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.