MS. ALEATHEA RAE ANDERSON (NPI# 1942356944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942356944 |
| Entity Type | Individual |
| Full Name | MS. ALEATHEA RAE ANDERSON |
| Credential | PA-C |
| Practice Address |
20 Se Ninth Street Centracare Health System-long Prairie Long Prairie MN 56347-1404 |
| Practice Telephone | 3207322141 |
| Practice Fax Number | 3207326913 |
| Mailing Telephone | 3207322141 |
| Mailing Fax Number | 3207326913 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10212 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2089 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 SE NINTH STREET CENTRACARE HEALTH SYSTEM-LONG PRAIRIE |
| City | LONG PRAIRIE |
| State | MN |
| Zip Code | 56347-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801847702 | Centracare Health System -long Prairie | Skilled Nursing Facility | 20 Se Ninth Street, Centra Care Health System- Long Praire, Long Prairie, MN 56347-1404 | 2006-05-15 |
| 1083764476 | Ceree E. George | Advanced Practice Midwife | 20 Se Ninth Street, Centracare Health System-long Prairie, Long Prairie, MN 56347-1404 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720589088 | Landyn T R Prescott Miles | Counselor | 20547 Us Hwy 71 South, Long Priarie, MN 56347 | 2018-02-22 |
| 1659321420 | John P Nei | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2006-05-11 |
| 1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
| 1457342131 | Anand K Shah | Family Medicine | 24 9th St Se, Centracare Clinic Long Prairie, Long Prairie, MN 56347 | 2005-11-02 |
| 1669944104 | Vandesteeg & Larson Optometric Clinic, Pa | Optometrist | 240 Central Ave, Long Prairie, MN 56347 | 2018-12-21 |
| 1598243438 | Lakeland Dental P.l.l.c. | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2018-08-02 |
| 1366763039 | Pharm Properties | Pharmacy | 244 Central Ave, Long Prairie, MN 56347 | 2010-06-17 |
| 1760428593 | William H Peterson | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2006-06-21 |
| 1396780540 | Michael Winge | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2006-06-19 |
| 1811943061 | Long Prairie Dental Clinic LLC | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2006-05-26 |
| Find all providers in zip 56347 | ||||
| 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 |
|---|---|---|---|---|
| 1922099878 | James M Bergmann | Physician Assistant | 20 Ninth Street Se, Centra Care Health System - Long Prairie, Long Prairie, MN 56347-1404 | 2005-10-31 |
| 1144380296 | Mark A. Christiansen | Physician Assistant | 20 9th St Se, Centracare Health System-long Prairie, Long Prairie, MN 56347-1404 | 2006-12-11 |
| 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 | ||||
| City | LONG PRAIRIE |
| Zip Code | 56347 |
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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.