BRANDON MARK ANDERSON (NPI# 1225536592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225536592 |
| Entity Type | Individual |
| Full Name | BRANDON MARK ANDERSON |
| Credential | RN, CNP |
| Practice Address |
5219 Saint John Dr Orr MN 55771-8232 |
| Practice Telephone | 2187573650 |
| Mailing Telephone | 2187573650 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 227183-7 | MN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | XXX | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477938694 | Brandon Anderson | Counselor | 726 Elm Ave Unit 302, Long Beach, CA 90813-4468 | 2015-07-29 |
| 1619276433 | Brandon Anderson | Behavioral Analyst | 5429 Whisper Bluff St, North Las Vegas, NV 89031-0746 | 2011-03-18 |
| 1326282898 | Brandon John Anderson | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se Mmc 391, Pediatric Education Eg, Minneapolis, MN 55455 | 2009-04-28 |
| 1619180130 | Brandon Regan Anderson | Pharmacist | 105 Old York Rd, New Cumberland, PA 17070-2485 | 2007-05-08 |
| 1285154096 | Brandon Anderson | Counselor | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2017-06-22 |
| 1093261943 | Brandon Anderson | Pharmacist | 24760 Hospital Drive, Red Lake, MN 56671 | 2016-08-31 |
| 1043607369 | Brandon Anderson | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2015-04-24 |
| 1881080471 | Brandon Anderson | Internal Medicine | 701 Grove Rd Fl 5, Greenville, SC 29605-4210 | 2015-04-09 |
| 1558762385 | Brandon Jae Anderson | Pharmacist | 2011 E Fry Blvd, Sierra Vista, AZ 85635-2753 | 2014-09-11 |
| 1336558220 | Brandon Lee Anderson | Nurse Practitioner | 8511 Augusta Dr, Lincoln, NE 68526-9572 | 2014-08-05 |
| Street Address |
5219 SAINT JOHN DR |
| City | ORR |
| State | MN |
| Zip Code | 55771-8232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750498218 | Bois Forte Reservation Tribal Council | Ambulance | 5219 Saint John Dr, Orr, MN 55771 | 2006-08-23 |
| 1497373070 | Melissa Hawk | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2020-07-09 |
| 1265058903 | Bois Forte Reservation Tribal Government | Pharmacy | 5219 Saint John Dr, Orr, MN 55771-8232 | 2020-06-18 |
| 1285153007 | Paul Rasmussen | Nurse Practitioner | 5219 Saint John Dr, Orr, MN 55771-8232 | 2017-09-13 |
| 1316482672 | Wendy Drift | Social Worker | 5219 Saint John Dr, Orr, MN 55771-8232 | 2016-12-22 |
| 1174834709 | Crystal Lee Lobe | Nurse Practitioner | 5219 Saint John Dr, Orr, MN 55771-8232 | 2010-06-29 |
| 1588735856 | Jane Marie Lawrenz | Psychologist | 5219 Saint John Dr, Orr, MN 55771-8232 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760494611 | Lance E Hardwig | Physician Assistant | 13071 Nett Lake Rd., Nett Lake, MN 55771 | 2006-08-12 |
| 1043468853 | Bois Forte Health Services | Case Management | 13071 Nett Lake Road, Nett Lake, MN 55771 | 2008-09-04 |
| 1437181179 | Charles R Helleloid | Family Medicine | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2006-07-06 |
| 1134308448 | Raymond Lawrence Hawk | Physician Assistant | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2007-11-02 |
| 1265512420 | Michael Todd Rowlette | Dentist | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2006-10-16 |
| 1932331725 | Arlene R Sipola | Adult Companion | 4420 Brandt Rd, Orr, MN 55771-8358 | 2009-08-13 |
| 1205937604 | Daniel J Lofgren | Psychologist | 10574 Willow River Rd, Orr, MN 55771-9055 | 2006-09-26 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1043821622 | Byron Howard Herdman | Nurse Practitioner | 20671 State Highway 29, Henning, MN 56551-9521 | 2020-08-16 |
| 1568071058 | Miranda Bea Irene Charley | Nurse Practitioner | 510 Water St E, Cannon Falls, MN 55009-1643 | 2020-07-30 |
| 1861001059 | Angelsisters Home Healthcare Servies LLC | Nurse Practitioner | 10001 Butternut Cir N, Brooklyn Park, MN 55443-1864 | 2020-07-24 |
| 1720606544 | Kendra Marie Robida | Nurse Practitioner | 7245 Guider Dr Apt 317, Woodbury, MN 55125-5358 | 2020-07-08 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1487276556 | Kerriann Godwin | Nurse Practitioner | 842 102nd Ln Ne, Blaine, MN 55434-2642 | 2020-05-12 |
| 1699397851 | School of Health LLC | Nurse Practitioner | 30165 Terryll St, Lindstrom, MN 55045-9310 | 2020-05-11 |
| 1255953626 | Carla Renea Boudoir | Nurse Practitioner | 18342 Kerrville Trl, Lakeville, MN 55044-7310 | 2020-05-08 |
| 1639799745 | Elizabeth Carole Moe | Nurse Practitioner | 2151 Troop Dr, Sartell, MN 56377-4563 | 2020-04-17 |
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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.