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Kimyatta Anderson

Clinical Social Worker in Farmville, NC · enumerated 2012 · authorized official Kimyatta Anderson, Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730442294

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Registry record

Entity type Organization (Type 2)
Legal business name Kimyatta Anderson
Practice address 3707 N Main St, Farmville, NC, 27828
Phone (252) 753-5100
Fax (252) 753-5121
Enumeration date Jun 20, 2012
Last updated in NPPES Jun 21, 2012

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C005612 (NC) Primary

Authorized official

Name Kimyatta Anderson
Title Clinical Director
Phone (252) 753-5100

Other identifiers

Identifier Type State Issuer
6106660 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kimyatta Anderson?
The NPI for Kimyatta Anderson is 1730442294, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kimyatta Anderson?
NPPES lists Kimyatta Anderson (Clinical Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-21.