KELLY ANDERSON RN
NPI 1295583979
Registered Nurse - Psychiatric/Mental Health, Adult in Rancho Cucamonga, CA

Active since May 08, 2024
13030 COLONIAL DR, RANCHO CUCAMONGA, CA 91739(310) 367-6963 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Anderson Rn NPPES

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

KELLY ANDERSON RN (NPI 1295583979) is an individual psychiatric/mental health, adult provider in Rancho Cucamonga, California, licensed in California (RN95245715) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1295583979
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameKELLY ANDERSONCredential: RN
Location Address13030 COLONIAL DRRancho Cucamonga, CA 91739-8866
Mailing Address13030 Colonial DrRancho Cucamonga, CA 91739-8866
Sole ProprietorYes
Enumeration DateMay 8, 2024
NPPES CertifiedMay 8, 2024
NPI 1295583979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License Licensed in CA · RN95245715
13030 COLONIAL DR, Rancho Cucamonga, CA 91739

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 Kelly Anderson's NPI number?

The NPI number for Kelly Anderson is 1295583979. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Kelly Anderson located?

Kelly Anderson practices at 13030 Colonial Dr, Rancho Cucamonga, CA 91739. The listed phone number is (310) 367-6963.

What is Kelly Anderson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Kelly Anderson was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.