ALICIA MARIE ANDERSON (NPI# 1245875111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245875111 |
| Entity Type | Individual |
| Full Name | ALICIA MARIE ANDERSON |
| Practice Address |
800 Medical Center Dr Fairmont MN 56031-4575 |
| Mailing Address |
7674 Upper 171st St W Lakeville MN 55044-7418 |
| Practice Telephone | 5072388100 |
| Mailing Telephone | 5079954827 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 7068 | MN | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7068 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN BOARD OF NURSING | 7068 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972037323 | Alicia Anderson | Military Health Care Provider | 621 Mcgruder St. Ne, Atlanta, GA 30312 | 2017-04-12 |
| 1790182855 | Alicia Victoria Anderson | Occupational Therapy Assistant | 624 Palm Beach St, Tallahassee, FL 32310-5840 | 2014-12-04 |
| 1275803736 | Alicia Mary Anderson | Registered Nurse | 7 Carman Blvd, Brookhaven, NY 11719-9428 | 2011-12-30 |
| 1265067094 | Alicia Camille Anderson | Counselor | 4220 N Grand Blvd, Saint Louis, MO 63107-1831 | 2020-03-12 |
| 1982238382 | Alicia Anderson | Massage Therapist | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1932671609 | Alicia Jean Anderson | Counselor | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2018-12-19 |
| 1326551599 | Alicia V Anderson | Registered Nurse | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2017-11-09 |
| 1023531274 | Alicia Marie Anderson | Licensed Practical Nurse | 25 1st Ave Ne, Buffalo, MN 55313-1568 | 2017-07-19 |
| 1568886984 | Alicia Uvette Anderson | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2014-02-05 |
| 1881016756 | Alicia Anderson | Physical Therapist | 912 S Gay St, Knoxville, TN 37902-1814 | 2014-01-13 |
| Street Address |
800 MEDICAL CENTER DR |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-4575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355022 | Elizabeth Marie Rummel | Dietitian, Registered | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2020-04-22 |
| 1568082543 | Karyn Riewe | Occupational Therapist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2020-04-20 |
| 1063068062 | Jauclyn Renee Green | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-08-15 |
| 1689220733 | Maria Angela Doran-threat | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-08-14 |
| 1972087849 | Sara Lorraine Snyder | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-09-18 |
| 1205314960 | Maureen Muigai | Internal Medicine | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-08-03 |
| 1538655436 | Allison Nicole Young | Pharmacist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-07-03 |
| 1053823716 | Michelle Larae Geerdes | Occupational Therapist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-11-02 |
| 1255843934 | Stephanie Lynn Andersen | Speech-Language Pathologist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-11-02 |
| 1407368459 | Shelley Busche | Physical Therapist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341253 | Elevation Family Wellness | Nurse Practitioner | 1044 Hite Cir, Fairmont, WV 26554-9398 | 2020-09-16 |
| 1700307519 | Brenda Jo Brubaker | Nurse Practitioner | 120 Maplewood Dr, Fairmont, WV 26554-2162 | 2017-06-30 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1881124428 | Kristen Cutright | Nurse Practitioner | 1325 Locust Ave # 32, Fairmont, WV 26554-1435 | 2017-06-15 |
| 1881021459 | Traci Layne Tannehill | Nurse Practitioner | 5 Erwin Ln Ste A, Fairmont, WV 26554-1376 | 2013-09-27 |
| 1205188240 | Kelly Jo Hazuka | Nurse Practitioner | 100 Avery Olivia Way Ste B, Fairmont, WV 26554-9375 | 2012-10-14 |
| 1255633103 | Christine Lynn Mott | Nurse Practitioner | 123 Michael Developement Rd, Fairmont, WV 26554-8637 | 2010-11-29 |
| 1467653139 | Mary Patricia Watson | Nurse Practitioner | 1201 Locust Avenue, Fairmont State University Student Health, Fairmont, WV 26554 | 2007-05-30 |
| 1134124589 | Brenda Mercer Allen | Nurse Practitioner | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2005-06-14 |
| 1639790389 | Melissa Kay Spring | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2020-05-05 |
| Find all providers in FAIRMONT | ||||
Please comment or provide details below to improve the information on ALICIA MARIE ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.