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CONNIE L ANDERSON PA-C
NPI 1386651172
Physician Assistant - Medical in Omaha, NE

Active since August 02, 2006
105 N 31ST AVE, STE 102, OMAHA, NE 68131(402) 346-1111(402) 408-0004 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connie L Anderson Pa-c NPPES

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

CONNIE L ANDERSON PA-C (NPI 1386651172) is an individual medical provider in Omaha, Nebraska, licensed in Nebraska (640) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1386651172
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCONNIE L ANDERSONCredential: PA-C
Location Address105 N 31ST AVE, STE 102Omaha, NE 68131-2940
Mailing Address105 N 31st Ave, Ste 102Omaha, NE 68131-2940 · (402) 346-1111 · Fax (402) 408-0004
Phone(402) 346-1111
Fax(402) 408-0004
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 19, 2012
✔ NPI 1386651172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NE · 640
105 N 31ST AVE, Omaha, NE 68131
Open in Google Maps ↗

Other Identifiers 6

Other970015303Railroad Medicare
Medicare UPINR03159
Other810NE · Midlands
Medicare PIN281362NE
Medicare PIN272787NE
Other37956NE · Bcbs

Other Providers at the Same Location NPPES 3

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

SHAWNA R ZIEGLER APRN
Nurse Practitioner (Family)
105 N 31ST AVE
OMAHA, NE 68131
Douglas County (402) 346-1111
TANAYA STRICKLAND
Technician (Personal Care Attendant)
105 N 31ST AVE
OMAHA, NE 68131
Douglas County (402) 378-8508
RELIABLE ROCK
Community/Behavioral Health
105 N 31ST AVE, 212
OMAHA, NE 68131
Douglas County (402) 214-6949

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 Connie Anderson's NPI number?

The NPI number for Connie Anderson is 1386651172. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Connie Anderson located?

Connie Anderson practices at 105 N 31st Ave Ste 102, Omaha, NE 68131. The listed phone number is (402) 346-1111.

What is Connie Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Connie Anderson was last updated on April 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.