Active NPI 1184470296 Individual Practitioner Male Practitioner

Tim Andersen

Registered Nurse - School • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Tim Andersen is a registered healthcare professional specializing in Registered Nurse - School in Ithaca, NY. Practice services are available at 555 WARREN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

555 Warren Rd

Ithaca, NY 148501862

Telephone 6072571555

Associated Practice Facility / Clinic

🏢 Tst Boces Facility NPI 1215081682

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - School in Ithaca, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 4.0 Yrs

Regional Practice Density

25 Specialists

Practicing in Ithaca, NY (2905 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-29

Registered Nurse - School Primary Specialty

NUCC Taxonomy Code: 163WS0200X

State License NY 645303

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners

Karen Bartishevich , M ED CCC-SLP

Speech-Language Pathologist

NPI 1083925267

MEDCCCSLP

Linda Goodnough , MS, SLP

Speech-Language Pathologist

NPI 1083935035

Master of Science, Speech-Language Pathologist

Robin Gavin

Registered Nurse

NPI 1114892049

Chanhom Green , REGISTERED NURSE

Registered Nurse - School

NPI 1124799176

REGISTEREDNURSE

Rebecca Debell , LCSW-R

Social Worker - Clinical

NPI 1174846307

Licensed Clinical Social Worker - Registered

Jacqueline Landolf , RN

Registered Nurse

NPI 1225359896

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 29, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2024

Registered at 555 WARREN RD, ITHACA, NY 148501862 (Tel: 6072571555)

📍

Updated Business Mailing Address April 29, 2024

Registered at 555 WARREN RD, ITHACA, NY 148501862 (Tel: 6072571555)

👤

Provider Name / Credentials Updated April 29, 2024

Recorded as TIM ANDERSEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2024

Registered Nurse (License #645303 in NY)

🟢

Initial NPI Registration & Enumeration April 29, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1184470296

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 29, 2024

Last Update: April 29, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

555 Warren Rd

Ithaca, NY 148501862

Phone: 6072571555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.