KEVIN SCOTT ANDERSON (NPI# 1669867511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669867511 |
| Entity Type | Individual |
| Full Name | KEVIN SCOTT ANDERSON |
| Credential | ED.S., LP |
| Practice Address |
111 N Main St Ste 205 Austin MN 55912-3474 |
| Mailing Address |
1914 12th Ave Ne Austin MN 55912-4009 |
| Practice Telephone | 5074400134 |
| Practice Fax Number | 8557483132 |
| Mailing Telephone | 5074400134 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3823 | MN | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
LP3823 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 38734400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1914 12th Ave Ne, Austin, MN 559124009 | 5074400134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1306115787 | Kevin Anderson | Specialist | 614 E Rosewood Ln, Tavares, FL 32778-4879 | 2011-12-14 |
| 1508194366 | Kevin Anderson | Specialist/Technologist | 5151 Pacific Ave, Stockton, CA 95207-6370 | 2009-12-05 |
| 1427242478 | Kevin Kalin Anderson | Occupational Therapist | 7409 Oak Ct, Horace, ND 58047-9531 | 2007-09-04 |
| 1215138912 | Kevin M Anderson | Massage Therapist | 144 S Morton Ave, Apt A20, Morton, PA 19070-2059 | 2007-05-30 |
| 1285759001 | Kevin Anderson | Counselor | 2004 Essex St, Berkeley, CA 94703-2513 | 2007-03-20 |
| 1447307020 | Kevin Edward Anderson | Psychologist | 4609 Glendale Ave, Toledo, OH 43614-1910 | 2007-01-04 |
| 1255407144 | Kevin Mark Anderson | Dentist | 10428 Rt 47, Huntley, IL 60142-0156 | 2006-11-24 |
| 1861507675 | Kevin K Anderson | Physician Assistant | 530 N 250 W, Salina, UT 84654-0129 | 2006-08-20 |
| 1093768335 | Kevin L. Anderson | Chiropractor | 1227 West Oak Street, Zionsville, IN 46077-1262 | 2006-05-18 |
| Street Address |
111 N MAIN ST STE 205 |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1235754201 | Amanda Max Hilberg | Psychologist | 5900 Balcones Dr Ste 190, Austin, TX 78731-4295 | 2020-06-15 |
| 1427682871 | Charnel Hollier | Psychologist | 1500 W 38th St Ste 31, Austin, TX 78731-6318 | 2020-02-25 |
| 1053950329 | Erin G Underbrink Newins | Psychologist | 2100 Pipers Field Dr Apt 36, Austin, TX 78758-2548 | 2020-01-03 |
| 1629553953 | Pulverman Psychological Services, Pllc | Psychologist | 3160 Bee Caves Rd Ste 300, Austin, TX 78746-5591 | 2018-10-02 |
| 1770079071 | Donna Carpenter | Psychologist | 3724 Jefferson St Ste 200, Austin, TX 78731-6221 | 2018-07-10 |
| 1942790068 | Julia Jeannette Zenteno-montez | Psychologist | 7901 Metropolis Dr # 11a-2, Austin, TX 78744-3111 | 2018-05-14 |
| 1558861583 | Dr. Jillian Racine | Psychologist | 8140 N Mopac Expy Ste 3-225, Austin, TX 78759-8862 | 2018-02-16 |
| 1063921708 | Mariel Smith Cannady | Psychologist | 4407 Pack Saddle Pass, Austin, TX 78745-1623 | 2017-09-26 |
| 1386161750 | Jessica A Peller | Psychologist | 9701 Brodie Ln Ste 205, Austin, TX 78748-6284 | 2017-08-27 |
| Find all providers in AUSTIN | ||||
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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.