JEAN ANDERSON (NPI# 1518242064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518242064 |
| Entity Type | Individual |
| Full Name | JEAN ANDERSON |
| Credential | CNP |
| Practice Address |
2251 Connecticut Ave S Sartell MN 56377-2486 |
| Mailing Address |
101 12th Ave S Apt 313 Sartell MN 56377-4679 |
| Practice Telephone | 3202535220 |
| Mailing Telephone | 3203451306 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0911484 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366824096 | Jean Anderson | Psychologist | 552 Fagaima Road, Pago Pago, AS 96799 | 2015-06-18 |
| 1285868091 | Jean Diciancia Anderson | Physical Therapist | 200 Kennedy Memorial Drive, Rehab Works Dept., Waterville, ME 04901 | 2009-05-07 |
| 1861681272 | Jean Figuli Anderson | Specialist/Technologist | Cmr 415 Box 4246, Apo, AE 09114-0043 | 2007-10-22 |
| 1285821967 | Jean Marie Anderson | Physical Therapist | 6671a Wildwood Dr, Fort Drum, NY 13603-2053 | 2007-09-26 |
| 1285731679 | Jean Ellen Anderson | Dental Hygienist | 1789 Woodlane Drive, Suite D, Woodbury, MN 55125 | 2006-09-20 |
| 1861819278 | Jean L. Anderson | Social Worker | 9333 E 21st St N, Wichita, KS 67206-2927 | 2014-03-24 |
| 1740599372 | Jean Ann Anderson | Dietitian, Registered | 214 S. Fourth St., Kremmling, CO 80459 | 2010-09-30 |
| 1417185190 | Jean Anderson | Registered Nurse | 421 Sw Oak St, #210, Portland, OR 97204-1817 | 2009-07-01 |
| 1376694349 | Jean A Anderson | Nurse Practitioner | 201 North Washington Street, Falls Church, VA 22046 | 2007-01-16 |
| 1750475315 | Jean Marie Anderson | Dietitian, Registered | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-10-03 |
| Street Address |
2251 CONNECTICUT AVE S |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165881 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-4772 | 2005-06-22 |
| 1154920189 | Sartell Pediatrics, P.a. | Pediatrics | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2020-10-21 |
| 1164052718 | Callie Sahr | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2020-01-23 |
| 1518500578 | Teia Rose Wolter | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2019-10-22 |
| 1336790179 | Benjamin James Hageman | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2019-09-23 |
| 1386195659 | Chelsea Victoria Domeier | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-10-20 |
| 1700334851 | Amanda Walters | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-09-19 |
| 1861844482 | Brittany Joy Gordon | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-07-07 |
| 1447618095 | Kassie Scott | Dental Therapist | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-02-10 |
| 1033582259 | Lauren Milovitch-sera | Physical Therapist | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-2486 | 2015-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| Find all providers in zip 56377 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888536 | Kasi Zack | Nurse Practitioner | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2020-10-13 |
| 1407499023 | Bernadette T Warnert | Nurse Practitioner | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2019-10-27 |
| 1730620261 | Nicole Lynn Fuchs | Nurse Practitioner | 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377-2475 | 2017-03-16 |
| 1790233922 | Eric Michael Greene | Nurse Practitioner | 100 2nd St S, Sartell, MN 56377-1977 | 2016-09-16 |
| 1346622644 | Carolyn Ann Yavarow | Nurse Practitioner | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2015-06-23 |
| 1053798827 | Rachel Raab | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2015-04-30 |
| 1962830026 | Carissa Arens | Nurse Practitioner | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2013-10-28 |
| 1225310873 | Patrick John Moser | Nurse Practitioner | 1725 Pine Cone Rd S, Sartell, MN 56377-0030 | 2011-09-09 |
| 1568755767 | Jonathan Verlin Scheer | Nurse Practitioner | 100 2nd St S, Sartell, MN 56377-1977 | 2011-05-20 |
| 1093946022 | Tami J Huberty | Nurse Practitioner | 2251 Connecticut Avenue S, Hp Central Mn Clinics, Sartell, MN 56377-2486 | 2009-08-07 |
| Find all providers in SARTELL | ||||
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| 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.