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NPI Code Detail

MEDICARE: RACHEL LEIGH ANDERSON NP

MEDICARE: RACHEL LEIGH ANDERSON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71010553AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000001669157OTHERINANTHEM PTAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144836990
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LEIGH ANDERSON NP
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10300 N ILLINOIS ST
Second Line :
City : CARMEL
State : IN
Zip : 46290-1166
Country : US
Telephone Number : 317-944-0980
Fax Number : 317-968-1221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2020
Last Update Date : 05/08/2025

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