LAURIE TINA ANDERSON, CNP — NPI 1497870612 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care in SMITHFIELD, RI)

CMS-1500 Box 24J / 33a • NPI

1497870612

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LP2300X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care

Box 32 Service Location & ZIP+4

1150 DOUGLAS PIKE, SMITHFIELD, RI, 02917-1291

✓ 9-Digit EDI 837 ZIP+4 (02917-1291)

Practice Phone & Referral Fax

(401) 232-6220

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497870612 (LAURIE TINA ANDERSON, CNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1497870612` (NPI-1 Individual Practitioner)
Provider / Legal Name	LAURIE TINA ANDERSON, CNP
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: `363LP2300X` (Nurse Practitioner, Primary Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1150 DOUGLAS PIKE, SMITHFIELD, RI, 02917-1291
Practice Telephone / Fax	Tel: (401) 232-6220
Administrative Mailing Address	17 ROGLER FARM RD, SMITHFIELD, RI, 02917-1219
Enumeration & Last Sync	Enumerated: 2007-03-20 \| CMS Record Updated: 2018-09-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1150 DOUGLAS PIKE, SMITHFIELD, RI, 02917-1291

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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)

What Does Taxonomy Code 363LP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Primary Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LAURIE TINA ANDERSON, CNP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LS0200X` — Nurse Practitioner, School Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, School	State: RI \| License: `APRN00823` \| Primary: Secondary
`363LP2300X` — Nurse Practitioner, Primary Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care	State: RI \| License: `APRN000823` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LAURIE TINA ANDERSON, CNP (NPI #1497870612)