JOEL JUSTIN ANDERSON (NPI# 1043668817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043668817 |
| Entity Type | Individual |
| Full Name | JOEL JUSTIN ANDERSON |
| Credential | MSN, NP-C |
| Practice Address |
2311 W Lincoln Ave Fergus Falls MN 56537-1064 |
| Mailing Address |
712 S Cascade St Fergus Falls MN 56537-2913 |
| Practice Telephone | 2187398600 |
| Mailing Telephone | 2187368000 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R42796 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 4539 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649310293 | Joel W Anderson | Physical Therapist | 3326 177th Pl Ne, Arlington, WA 98223-8774 | 2007-02-06 |
| 1316905482 | Joel Fordyce Anderson | Physical Therapist | 113 4th Ave, Shell Lake, WI 54871-0300 | 2006-05-01 |
| 1639718018 | Joel Frank Anderson | Case Manager/Care Coordinator | 7813 Airline Dr Ste B, Metairie, LA 70003-6462 | 2020-01-02 |
| 1114147477 | Joel Brougher Anderson | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2007-04-27 |
| 1457443152 | Joel A Anderson | Physical Therapist | 11528 183rd Pl, Orland Park, IL 60467-9467 | 2006-09-29 |
| 1952341505 | Joel R Anderson | Podiatrist | 4920 N Central Ave, Suite 1a, Chicago, IL 60630-2338 | 2006-06-08 |
| 1215995089 | Joel W Anderson | Emergency Medicine | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2006-05-02 |
| Street Address |
2311 W LINCOLN AVE |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100806 | Matthew Ecker | Family Medicine | 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665274 | Destiny Conzemius | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2020-06-26 |
| 1356980395 | Kayla Lynn Villagomez | Nurse Practitioner | 111 W Vernon Ave, Fergus Falls, MN 56537-2741 | 2019-12-21 |
| 1104479534 | Katie Martin | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-07-24 |
| 1265998207 | Twilla Oskey | Nurse Practitioner | 1801 W Alcott Ave, Fergus Falls, MN 56537-2661 | 2019-02-14 |
| 1851857833 | Keon Idris Griffie | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-02-14 |
| 1942744545 | David Henry Frovarp | Nurse Practitioner | 1801 W Alcott Ave, Fergus Falls, MN 56537-2661 | 2016-12-15 |
| 1043661044 | Rebecca Rae Boesl | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537 | 2016-06-30 |
| 1720391220 | Ashley Mae Mccauley | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2010-07-26 |
| 1578626198 | Carlene Kay Cloud | Nurse Practitioner | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-12-18 |
| 1811917594 | Suzanne Kay Forsythe | Nurse Practitioner | 1821 N Park St, Fergus Falls, MN 56537-1247 | 2006-07-19 |
| Find all providers in FERGUS FALLS | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
Please comment or provide details below to improve the information on JOEL JUSTIN 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.