JOYLYN RAE ANDERSON


Address: 1415 Saint Francis Ave, Shakopee, MN 55379-3374
Phone: 9529937750

JOYLYN RAE ANDERSON (NPI# 1710170972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710170972
Entity Type Individual
Full Name JOYLYN RAE ANDERSON
Credential ANP
Practice Address 1415 Saint Francis Ave
Shakopee
MN 55379-3374
Mailing Address 6465 Wayzata Blvd
Ste 210
St Louis Park
MN 55426-1728
Practice Telephone 9529937750
Enumeration Date 2007-08-21
Last Update Date 2007-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R1488731 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1415 SAINT FRANCIS AVE
City SHAKOPEE
State MN
Zip Code 55379-3374

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336122969 Daniel W Hauschulz Family Medicine 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2005-11-29
1407200892 Chelsey Sand Family Medicine 1415 Saint Francis Ave, Shakopee, MN 55379 2016-04-21
1215345244 Keith Wayne Fridel Psychologist 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2014-07-22
1629482708 Grant William Mathison Orthopaedic Surgery 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2014-06-17
1811308265 Caitlin Marie Pelletier Pediatrics 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2014-05-19
1619395571 Rachael Summers Obstetrics & Gynecology 1415 Saint Francis Ave, Shakopee, MN 55379 2014-03-28
1629400163 Carly Thiner Nurse Practitioner 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2013-08-07
1043650104 Lisa Krohn Pharmacist 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2013-07-03
1225334709 Kaylen Mcnamara James Jackson Dietitian, Registered 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2011-02-01
1982919718 Kathryn Nicole Kuske Physician Assistant 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2010-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073123030 True North Community Dental Clinic, LLC Dentist 415 East First Avenue, Shakopee, MN 55379 2020-08-05
1154988236 Benedictine Living Community of Shakopee LLC Assisted Living Facility 1705 Windermere Way, Shakopee, MN 55379 2019-05-23
1346741394 Expressions In Motion LLC Speech-Language Pathologist 1221 East 4th Ave., Shakopee, MN 55379 2018-02-26
1124529334 A.m Dental Professionals P.a Clinic/Center 1036 1st Ave E, Shakopee, MN 55379 2018-02-22
1538522024 Jesse Sylvester Chiropractor 1275 Ramsey Street South, #600, Shakopee, MN 55379 2016-04-01
1376903963 Dakota Best Transportation LLC Non-emergency Medical Transport (VAN) 449 Dakota Street Apt 2, Shakopee, MN 55379 2016-02-25
1568856631 Tatyana Mishkin Gleyzer Nurse Practitioner 1010 West Sixth Avenue, Shakopee, MN 55379 2015-03-26
1245634039 Kalli Ledel Pharmacist 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 2014-10-22
1487992913 Jennifer Elizabeth Boyd Nurse Practitioner Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 2013-01-17
1013253798 Acts Therapy LLC Counselor 8170 Old Carriage Court North, 215, Shakopee, MN 55379 2012-12-27
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1649830225 Kimberly Dawn Hanson Nurse Practitioner 1884 Randolph Ave, Saint Paul, MN 55105-1747 2019-06-17
1942762828 Jodi Lynn Martin Nurse Practitioner 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 2019-04-01
1831661123 Sheryl Jo Rudolf Nurse Practitioner 705 Pleasant Avenue, Park Rapids, MN 56470-1440 2018-12-26
1043730310 Alexis Oluwasheun Bakare Nurse Practitioner 1101 Paul Pkwy Ne Apt 215, Blaine, MN 55434-3977 2017-06-27
1528500360 Judy Pauletich Nurse Practitioner 1255 Mayhill Rd N, Maplewood, MN 55119-7158 2016-11-10
1437506417 Zahra Roble Nurse Practitioner 1801 Nicolllet Ave S, Minneapolis, MN 55403 2016-05-19
1932569035 David Makonde Ogato Nurse Practitioner 5325 W 74th St, Edina, MN 55439-2231 2016-03-02
1164896379 Brooke Johnson Nurse Practitioner 12700 Whitewater Dr, Minnetonka, MN 55343-9438 2015-11-25
1962879916 Carrie Rose Lucio Nurse Practitioner 807 Albert St N, Saint Paul, MN 55104-1302 2015-08-25
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Competitor

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City SHAKOPEE
Zip Code 55379

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Dataset Information

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.

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