DR. KIMBERLY ANDERSON (NPI# 1891249140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891249140 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ANDERSON |
| Credential | PSY.D. |
| Practice Address |
16201 90th St Ne Suite 200 Otsego MN 55330-7463 |
| Mailing Address |
1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786 |
| Practice Telephone | 7637469492 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659594 | Kimberly G Anderson | Nurse Practitioner | 4089 42nd Sq, Vero Beach, FL 32967-1963 | 2020-02-03 |
| 1730724410 | Kimberly Susan Anderson | Specialist/Technologist | 708 W 4th St, Lewes, DE 19958-1284 | 2019-11-17 |
| 1740727312 | Kimberly Anderson | Licensed Practical Nurse | 102 Giminski Dr, Apartment 1, Syracuse, NY 13204-1304 | 2017-01-20 |
| 1467843292 | Kimberly Anderson | Registered Nurse | 8247 S 535 E, Sandy, UT 84070-0476 | 2015-02-16 |
| 1609279926 | Kimberly Anderson | Psychologist | 42 E Via Plaza Nueva, Santa Fe, NM 87507-8491 | 2014-10-01 |
| 1881003994 | Kimberly Dawn Anderson | Specialist/Technologist | 4280 S 246th Ave, Buckeye, AZ 85326-3351 | 2014-08-04 |
| 1295175537 | Kimberly Michelle Anderson | Case Manager/Care Coordinator | 1509 N Midwest Blvd Apt 8, Midwest City, OK 73110-3243 | 2013-07-01 |
| 1891062477 | Kimberly Michelle Anderson | Licensed Practical Nurse | 983 Ridgeway Ct Apt A, Lebanon, OH 45036-2562 | 2011-11-25 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1487955068 | Kimberly Dawn Anderson | Pharmacy Technician | 13831 Chalco Valley Pkwy Ste 101, Omaha, NE 68138-6145 | 2010-11-12 |
| Street Address |
16201 90TH ST NE SUITE 200 |
| City | OTSEGO |
| State | MN |
| Zip Code | 55330-7463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437108008 | Ann M Kooiker | Psychiatry & Neurology | 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | 2006-05-09 |
| 1841725181 | Brianna Lynn Benson | Counselor | 16201 90th St Ne, Otsego, MN 55330-7463 | 2017-04-24 |
| 1225576101 | Susan Cuny | Nurse Practitioner | 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | 2017-02-10 |
| 1366835373 | Joyce Miller | Counselor | 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | 2015-03-16 |
| 1306263884 | Trevor Asher | Counselor | 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | 2014-03-24 |
| 1932521051 | Robert Wehling | Social Worker | 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | 2014-01-08 |
| 1992139315 | Linn M Hirst | Counselor | 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | 2013-08-22 |
| 1720321193 | Lynda Ellen Eklund | Social Worker | 16201 90th St Ne, Suite 100, Otsego, MN 55330-7463 | 2013-04-03 |
| 1609115757 | Olena Ruchko | Marriage & Family Therapist | 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | 2013-02-10 |
| 1922345677 | Kerri Ann Burgett | Psychologist | 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | 2013-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1407373160 | Craig Rice | Counselor | 7837 Parquet Ave Ne, Otsego, MN 55330-4646 | 2017-08-24 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1912383969 | Tia Dvorak | Counselor | 9201 Quaday Ave Ne Ste 250, Otsego, MN 55330-6602 | 2015-07-31 |
| 1023367521 | Larone R Greer | Counselor | 7667 Palisades Ave Ne, Otsego, MN 55330 | 2012-08-30 |
| 1750511838 | Jeffrey Lepkowski | Counselor | 16201 90th St Ne Ste 200, Otsego, MN 55330-7464 | 2009-07-22 |
| 1780281295 | Holly J Oachs | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-10-07 |
| 1881219632 | Kathryn Hartman Valine | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-06-08 |
| 1033739495 | Heather Jo Voss | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-04-25 |
| Find all providers in OTSEGO | ||||
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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.