ANITA MARIE HANDEVIDT (NPI# 1891705968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891705968 |
| Entity Type | Individual |
| Full Name | ANITA MARIE HANDEVIDT |
| Credential | RN CNP CNS |
| Practice Address |
401 West St Jackson MN 56143-1219 |
| Mailing Address |
117 S Spring St Po Box 686 Luverne MN 56156-1916 |
| Practice Telephone | 5078472423 |
| Practice Fax Number | 5078472422 |
| Mailing Telephone | 5072839511 |
| Mailing Fax Number | 5072839514 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R0902409 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364S00000X | Clinical Nurse Specialist | R0902409 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 374M2HA | 01 |
| MN | 236135300 | 05 | |
| MN | UCARE | 164160 | 01 |
| Street Address |
401 WEST ST |
| City | JACKSON |
| State | MN |
| Zip Code | 56143-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023462603 | Carrie Rochelle Anderson | Counselor | 401 West St, Suite 0115, Jackson, MN 56143-1219 | 2016-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576965 | Jackson County Central Schools | Local Education Agency (LEA) | Jackson County Central Schools, 1128 North Highway, Jackson, MN 56143 | 2006-12-22 |
| 1609952027 | Susan Marie Back | Psychologist | 116 County Road 34 W, Jackson, MN 56143 | 2006-10-27 |
| 1992805204 | Kevin John Dunlavey | Dentist | 607 2nd St, Jackson, MN 56143 | 2006-09-25 |
| 1285978221 | Paul Anthony Roggow | Dentist | 604 Second Street, Jackson, MN 56143 | 2012-11-15 |
| 1083896716 | Shopko Stores Operating Co LLC | Pharmacy | 506 2nd St, Jackson, MN 56143 | 2007-12-05 |
| 1053456889 | Jackson Drug Co | Durable Medical Equipment & Medical Supplies | 506 2nd St, Jackson, MN 56143-0233 | 2007-02-20 |
| 1811915648 | Jackson Volunteer Ambulance | Ambulance | 305 Sheridan Str, Jackson, MN 56143-0242 | 2006-07-18 |
| 1750378758 | Sister Marie Paul Lockerd | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2005-10-04 |
| 1407065824 | Desmoines Valley Bhs | Clinical Nurse Specialist | 803 4th St, Jackson, MN 56143-1056 | 2007-05-22 |
| 1942426689 | Margaret Jean Hart | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2007-04-18 |
| Find all providers in zip 56143 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391092 | Ashley Voss | Clinical Nurse Specialist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-22 |
| 1407065824 | Desmoines Valley Bhs | Clinical Nurse Specialist | 803 4th St, Jackson, MN 56143-1056 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761821 | Karen Mary Gmitro Prieto | Clinical Nurse Specialist | 913 E 26th St # 401, Minneapolis, MN 55404-4515 | 2013-11-19 |
| 1942642681 | Jean Vaneps | Clinical Nurse Specialist | 708 Division St, Deer River, MN 56636-8706 | 2013-07-23 |
| 1174745715 | Susan M Karnitz | Clinical Nurse Specialist | 1575 Beam Avenue, Maplewood, MN 55109 | 2007-05-03 |
| 1598805079 | Marybeth L O Neil | Clinical Nurse Specialist | 2100 Campus Dr Se, Rochester, Rochester, MN 55904-4831 | 2007-02-07 |
| 1700955366 | Geropsych Health Services, Inc. | Clinical Nurse Specialist | 611 Spruce Grove Ln Nw, Bemidji, MN 56601-7746 | 2006-11-07 |
| 1912008152 | Molly S Fritz-beckers | Clinical Nurse Specialist | Range Mental Health Center Perpich Building, 3203 W 3rd Ave, Hibbing, MN 55746 | 2006-09-26 |
| 1407866510 | Saunda St Martin | Clinical Nurse Specialist | 24760 Hospital Drive, Redlake, MN 56671 | 2006-08-09 |
| 1578577953 | Nancy Menzel | Clinical Nurse Specialist | 15 S Pilot Ct, Mankato, MN 56001-4127 | 2006-07-28 |
| 1417901109 | Jodie Duntley | Clinical Nurse Specialist | 701 Park Ave # S1, Minneapolis, MN 55415-1623 | 2006-05-19 |
| 1992766869 | Gay M Bartholic | Clinical Nurse Specialist | 2345 Ariel Street N - Mail Stop 13601a, Healthpartners Regions Behavioral Health - Maplewood, Maplewood, MN 55109-2248 | 2006-03-30 |
| 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.