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Sue Ellen Anderson

Physician β€’ Vail, AZ

Deactivated NPI 1922171586 Deactivated in NPPES Female Practitioner
Practice location in NPPES

13588 E Yorkie Place
Vail, AZ 85641

Phone: 5207628851

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 21, 2021; the reason is not published. The records below are historical. They do not show whether Sue Anderson currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 15, 2006
NPI Deactivation Date January 21, 2021
NPI Active Period 2006 – 2021

Practice Location & Contact Primary Location

Practice Address

13588 E Yorkie Place

Vail, AZ 85641

Telephone 5207628851

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Vail and Arizona

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Respite Care - Respite Care Camp Primary Specialty

NUCC Taxonomy Code: 385HR2050X

License # reported to NPPES AZ 9670

A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated January 21, 2021

NPPES lists this NPI as deactivated as of January 21, 2021; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 08, 2007

Registered at 13588 E YORKIE PLACE, VAIL, AZ 85641 (Tel: 5207628851)

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Business Mailing Address (Initial Record) July 08, 2007

Registered at 13588 E YORKIE PLACE, VAIL, AZ 85641 (Tel: 5207628851)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as SUE ANDERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Respite Care (license number reported to NPPES: AZ 9670)

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Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922171586
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: July 08, 2007
Deactivation Date: January 21, 2021

Mailing Address

13588 E Yorkie Place

Vail, AZ 85641

Phone: 5207628851

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.