TORI JO ANDERSON (NPI# 1629699855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629699855 |
| Entity Type | Individual |
| Full Name | TORI JO ANDERSON |
| Practice Address |
1971 Lakeview Dr Carlton MN 55718-8239 |
| Practice Telephone | 2184285740 |
| Mailing Telephone | 2184285740 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864390 | Tori Morgan Anderson | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-25 |
| 1538667308 | Tori Anderson | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2018-01-26 |
| 1548568504 | Tori C Anderson | Pharmacist | 1584 Central Ave, Summerville, SC 29483-5528 | 2011-03-01 |
| Street Address |
1971 LAKEVIEW DR |
| City | CARLTON |
| State | MN |
| Zip Code | 55718-8239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093989543 | Robert Thomas Johnson | Dentist | 210 Third Street, Carlton, MN 55718 | 2008-04-16 |
| 1750494910 | City of Carlton | Ambulance | 100 4th St. North, Carlton, MN 55718 | 2006-08-15 |
| 1972677532 | C.a.r.e.-carlton | Substance Abuse Rehabilitation Facility | 810 3rd St, Suite 102, Carlton, MN 55718-3700 | 2006-11-17 |
| 1285245233 | Kirsten K Komarek | Dental Hygienist | 210 3rd St, Carlton, MN 55718-7703 | 2020-08-13 |
| 1760013700 | Lake Superior Community Health Center | Clinic/Center | 210 3rd St, Carlton, MN 55718-7703 | 2020-01-29 |
| 1982765319 | Richard D Devorak | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-12-12 |
| 1427123751 | Jeffrey John Bertani | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-11-21 |
| 1023190642 | James A Adamczak | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-10-20 |
| 1659598084 | Laura Lee Bodin | Licensed Practical Nurse | 1570 Olsonville Rd, Carlton, MN 55718-8112 | 2007-04-19 |
| 1215405063 | Heather Lea Sanvig | Social Worker | 1721 County Road 4, Carlton, MN 55718-8220 | 2018-11-09 |
| Find all providers in zip 55718 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.