DOROTHY LORRAINE ANDERSON (NPI# 1346309515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346309515 |
Entity Type | Individual |
Full Name | DOROTHY LORRAINE ANDERSON |
Credential | MD |
Practice Address |
1125 6th Street Se Woodland Centers Willmar MN 56201-4675 |
Mailing Address |
2558 271 Ave Madison MN 56256 |
Practice Telephone | 3202319148 |
Practice Fax Number | 3202319140 |
Mailing Telephone | 3202354613 |
Mailing Fax Number | 3202319140 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
24937 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UBH | 15 57863 | 01 | |
BLUE CROSS | 51M11AN | 01 | |
UCARE | 142807 | 01 | |
PREFERRED ONE | 1031430 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
1902005853 | Dorothy L Anderson | Social Worker | 13660 North 94th Drive, C-3, Glendale, AZ 85306 | 2007-07-12 |
1043358427 | Dorothy Anne Anderson | Counselor | 3109 Sw Woodfield Ln, Ankeny, IA 50023-8910 | 2007-02-01 |
1679659593 | Dorothy K Anderson | Optometrist | 1670 Barataria Blvd, Ste D, Marrero, LA 70072-4354 | 2006-10-31 |
1457392516 | Dorothy Jean Anderson | Psychologist | 2264 Mcgilchrist St Se, Suite 100, Salem, OR 97302-1187 | 2006-06-09 |
1013160761 | Dorothy Jean Anderson | Nurse Practitioner | 221 Main Ave, Clinton, IA 52732-2241 | 2008-10-28 |
1831229368 | Dorothy Jean Anderson | Licensed Psychiatric Technician | 17695 Industrial Farm Rd, Bakersfield, CA 93308-9520 | 2007-03-06 |
1568538171 | Dorothy L Anderson | Social Worker | 64 Church St, Ll, Cambridge, MA 02138-3730 | 2006-11-27 |
1285734996 | Dorothy Bruhl Anderson | Marriage & Family Therapist | 17 93rd St, Keene, NH 03431-3748 | 2006-09-23 |
Street Address |
1125 6TH STREET SE WOODLAND CENTERS |
City | WILLMAR |
State | MN |
Zip Code | 56201-4675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437223294 | Greg Lee Reuss | Counselor | 1125 6th Street Se, Willmar, MN 56201-4675 | 2006-11-20 |
1548393754 | Vickie Lynn Bush | Counselor | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2007-03-14 |
1003963521 | Paul Jon Rice | Technician | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2007-01-05 |
1083774772 | Barbara Lynn Knott | Technician | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2006-12-11 |
1881754547 | Greta Kay Postma | Technician | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2006-12-11 |
1871653535 | Tana Denise Carlson | Technician | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2006-12-11 |
1497815153 | Julie Ann Fischer | Technician | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2006-12-11 |
1558421222 | Paula Jean Nelson | Technician | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2006-12-11 |
1902966674 | Evangelina Thole | Technician | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2006-12-11 |
1528128295 | Pety Zeatlow | Technician | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2006-12-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
Find all providers in zip 56201 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255444311 | Karen Denese Taylor-crawford | Psychiatry & Neurology | 1701 Technology Dr Ne, Willmar, MN 56201-2275 | 2006-08-15 |
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1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
1841514734 | Sara Jean Polley | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-03-21 |
1356597041 | Wei Guan | Psychiatry & Neurology | 3800 Park Nicollet Blvd Ste 650, St Louis Park, MN 55416-2527 | 2008-08-13 |
1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
1396885646 | Muhammad Waqar Azeem | Psychiatry & Neurology | 11705 State Ave, Brainerd, MN 56401-7307 | 2007-02-07 |
1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
1891884326 | Highland Psychiatric Services Pa | Psychiatry & Neurology | 897 St Paul Ave, St Paul, MN 55116 | 2006-10-12 |
1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
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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.