MRS. JEAN ELLEN ANDERSON (NPI# 1285731679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285731679 |
| Entity Type | Individual |
| Full Name | MRS. JEAN ELLEN ANDERSON |
| Credential | RDH |
| Practice Address |
1789 Woodlane Drive Suite D Woodbury MN 55125 |
| Mailing Address |
9098 Jensen Ave South Cottage Grove MN 55016 |
| Practice Telephone | 6517381284 |
| Mailing Telephone | 6514594632 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5261 | MN | Dental 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 |
| 1861819278 | Jean L. Anderson | Social Worker | 9333 E 21st St N, Wichita, KS 67206-2927 | 2014-03-24 |
| 1518242064 | Jean Anderson | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2011-10-17 |
| 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 |
1789 WOODLANE DRIVE SUITE D |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578897328 | Annie Marie Lutterman | Dental Hygienist | 1789 Woodlane Drive, Suite D, Woodbury, MN 55125 | 2009-09-28 |
| 1417058017 | Martin W Clasen | Dentist | 1789 Woodlane Drive, Suite B Clasen Family Dental, Woodbury, MN 55125 | 2006-09-26 |
| 1922109537 | Julie K Clasen | Dentist | 1789 Woodlane Drive, Clasen Family Dental Suite B, Woodbury, MN 55125 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881193407 | Cathy Distefano | Dental Hygienist | 5 Wimbledon Ct, Woodbury, NY 11797-2411 | 2018-02-09 |
| 1588052377 | Jody Milbert Lundell | Dental Hygienist | 3664 Mount Vernon Ln, Woodbury, MN 55129-9382 | 2014-12-31 |
| 1568793768 | Crystal Jane Rosenbrook | Dental Hygienist | 3194 Leyland Trl, Woodbury, MN 55125-3558 | 2010-01-27 |
| 1487759411 | Sheila Maureen Smith | Dental Hygienist | 1789 Woodlane Dr Ste D, Woodbury, MN 55125-3910 | 2006-09-14 |
| 1578897328 | Annie Marie Lutterman | Dental Hygienist | 1789 Woodlane Drive, Suite D, Woodbury, MN 55125 | 2009-09-28 |
| 1770816001 | Amanda Jane Hanson | Dental Hygienist | 1789 Woodlane Dr, Suite D, Woodbury, MN 55125-3910 | 2009-09-18 |
| 1447404900 | Sarah Jeanette Bush | Dental Hygienist | 1789 Woodlane Dr Ste D, Woodbury, MN 55125-3910 | 2008-11-11 |
| 1295921047 | Jacqueline Lee Kimber | Dental Hygienist | 1789 Woodlane Dr, Suite D, Woodbury, MN 55125-3910 | 2007-09-14 |
| 1114112349 | Molly Therese Verhelst | Dental Hygienist | 1789 Woodlane Dr, Suite D, Woodbury, MN 55125-3910 | 2007-09-11 |
| 1891895215 | Kristin Kay Muhich | Dental Hygienist | 1789 Woodlane Dr, Suite D, Woodbury, MN 55125-3910 | 2006-09-25 |
| Find all providers in WOODBURY | ||||
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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.