NICOLE ANDERSON (NPI# 1477964336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477964336 |
| Entity Type | Individual |
| Full Name | NICOLE ANDERSON |
| Practice Address |
5366 386th St Ne North Branch MN 55056-5833 |
| Mailing Address |
9778 Pine Shores Dr Pine City MN 55063-4575 |
| Practice Telephone | 6516748353 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R1795291 | MN | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AG0614167 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174367 | Nicole Anderson | Counselor | 189 Orange St Ste 380, New Haven, CT 06510-2014 | 2020-01-29 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1558865923 | Nicole Anderson | Dental Hygienist | 144 Genesee St Ste 303, Auburn, NY 13021-3526 | 2018-03-21 |
| 1699275149 | Nicole S Anderson | Counselor | 6919 E 10th St Ste C, Indianapolis, IN 46219-4893 | 2018-02-20 |
| 1518479880 | Nicole Anderson | Registered Nurse | 5514 Aeriel Pl, Frederick, MD 21703-6555 | 2017-10-26 |
| 1578099214 | Nicole A Anderson | Physical Therapist | 260 Newport Center Dr Ste 502, Newport Beach, CA 92660-7520 | 2017-05-01 |
| 1093248528 | Nicole Anderson | Speech-Language Pathologist | 9907 Ne 124th St, Apt. 816, Kirkland, WA 98034-3752 | 2017-04-11 |
| 1275074148 | Nicole Anderson | Occupational Therapist | 2176 State Route 32, Modena, NY 12548-5211 | 2017-03-13 |
| 1063805869 | Nicole Anderson | Behavioral Analyst | 2105 E Park St, Cedar Park, TX 78613-4598 | 2015-03-18 |
| 1912305954 | Nicole Nichelle Anderson | Counselor | 3820 Kenzie Ct, Balch Springs, TX 75180-5011 | 2014-12-08 |
| Street Address |
5366 386TH ST NE |
| City | NORTH BRANCH |
| State | MN |
| Zip Code | 55056-5833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356653760 | Jenna Lynn Moscherosch | Physician Assistant | 5366 386th St Ne, North Branch, MN 55056-5833 | 2010-07-14 |
| 1952885931 | Matthew Weiseman | Physician Assistant | 5366 386th St Ne, North Branch, MN 55056-5833 | 2018-09-17 |
| 1366893331 | Jena Labine | Nurse Practitioner | 5366 386th St Ne, North Branch, MN 55056-5833 | 2016-06-30 |
| 1497138465 | Joseph David Lahti | Pharmacist | 5366 386th St Ne, North Branch, MN 55056-5833 | 2015-07-08 |
| 1922486307 | Amy Carlson | Physical Therapist | 5366 386th St Ne, North Branch, MN 55056-5833 | 2015-05-18 |
| 1972937506 | Tec LLC | Eyewear Supplier (Equipment, not the service) | 5366 386th St Ne, North Branch, MN 55056-5833 | 2013-08-30 |
| 1710321054 | Fairview Pharmacy Services LLC | Pharmacy | 5366 386th St Ne, North Branch, MN 55056-5833 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217146 | Joy Solano | Counselor | 38873 14th Ave North, North Branch, MN 55056 | 2015-10-19 |
| 1285072637 | Teresa Ann Dewitt | Registered Nurse | 9208 St Croix Trail, North Branch, MN 55056 | 2013-06-07 |
| 1396074209 | Twin Cities Mobile Chiropractic, P.C. | Clinic/Center | 6754 380th Circle, North Branch, MN 55056 | 2009-12-24 |
| 1811157662 | Shopko Stores Operating Co LLC | Pharmacy | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-16 |
| 1023171196 | Shawn Timothy Mccullough | Dentist | 6041 Main Street, Suite C, North Branch, MN 55056 | 2006-12-19 |
| 1518050103 | Paula J Rehder | Family Medicine | 6413 Oak Street, North Branch, MN 55056 | 2006-10-02 |
| 1699711614 | Julie A Perreault | Chiropractor | 6361 Main St, No Branch, MN 55056 | 2006-06-20 |
| 1760950307 | Kara H Mireles | Marriage & Family Therapist | 5842 Old Main St, Ste 2,3,4, North Branch, MN 55056 | 2018-11-12 |
| 1134614506 | Jenna Marie Leirmoe | Counselor | 38878 12th Ave, North Branch, MN 55056 | 2018-06-27 |
| 1689835647 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-23 |
| Find all providers in zip 55056 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731821 | Thomas Bieniek | Nurse Practitioner | 1900 Centracare Cir Ste 1600, Saint Cloud, MN 56303-5000 | 2019-07-08 |
| 1649830225 | Kimberly Dawn Hanson | Nurse Practitioner | 1884 Randolph Ave, Saint Paul, MN 55105-1747 | 2019-06-17 |
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1831661123 | Sheryl Jo Rudolf | Nurse Practitioner | 705 Pleasant Avenue, Park Rapids, MN 56470-1440 | 2018-12-26 |
| 1043730310 | Alexis Oluwasheun Bakare | Nurse Practitioner | 1101 Paul Pkwy Ne Apt 215, Blaine, MN 55434-3977 | 2017-06-27 |
| 1528500360 | Judy Pauletich | Nurse Practitioner | 1255 Mayhill Rd N, Maplewood, MN 55119-7158 | 2016-11-10 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1932569035 | David Makonde Ogato | Nurse Practitioner | 5325 W 74th St, Edina, MN 55439-2231 | 2016-03-02 |
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| 1962879916 | Carrie Rose Lucio | Nurse Practitioner | 807 Albert St N, Saint Paul, MN 55104-1302 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRANCH |
| Zip Code | 55056 |
Please comment or provide details below to improve the information on NICOLE 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.