DR. VICKI L ANDERSON (NPI# 1972685394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972685394 |
| Entity Type | Individual |
| Full Name | DR. VICKI L ANDERSON |
| Credential | M.D. |
| Practice Address |
512 Skyline Blvd Cloquet MN 55720-1199 |
| Practice Telephone | 2188794641 |
| Practice Fax Number | 2188798904 |
| Mailing Telephone | 2188794641 |
| Mailing Fax Number | 2188798904 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22662 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 0119768 | 01 |
| MN | BLUES & FIRST PLAN | 550T0AN | 01 |
| MN | 204287800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609083229 | Vicki Anderson | Licensed Practical Nurse | 4107 E 146th St, Cleveland, OH 44128-1827 | 2007-05-16 |
| 1538387071 | Vicki Anderson | Psychologist | 976 Route 103, Newbury, NH 03255-9998 | 2007-04-22 |
| 1609208651 | Vicki Lynn Anderson | Speech-Language Pathologist | 3500 Ellington St, Charlotte, NC 28211-1102 | 2013-08-01 |
| 1952461030 | Vicki Leatrice Anderson | Physical Medicine & Rehabilitation | 9200 W Wisconsin Ave, Physical Medicine and Rehabilitation, Milwaukee, WI 53226-3522 | 2006-12-11 |
| 1598738817 | Vicki M Anderson | Audiologist | 401 Phalen Blvd, Saint Paul, MN 55130 | 2006-02-08 |
| Street Address |
512 SKYLINE BLVD |
| City | CLOQUET |
| State | MN |
| Zip Code | 55720-1199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577033 | John James Baga | Internal Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2005-09-01 |
| 1689226185 | Jacob Klug | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2019-07-15 |
| 1144872383 | Lisa Beth Hay | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2019-07-09 |
| 1073021036 | Webmed LLC | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2018-01-11 |
| 1922518026 | Jacqueline Ehima | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2017-10-03 |
| 1881143022 | Lisa Leedham | Physician Assistant | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-09-29 |
| 1700236155 | Jean Lynn Maslowski | Dietitian, Registered | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-06-16 |
| 1720441686 | Natalie Krier Arreola | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-03-29 |
| 1386005601 | Timothy Robert Weber | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720 | 2016-03-14 |
| 1649656562 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786652 | Awakening Growth, LLC | Social Worker | 116 Ave C, Cloquet, MN 55720 | 2017-05-08 |
| 1396129706 | Kara Danielle Ebert | Marriage & Family Therapist | 913 Stanley Ave, Cloquet, MN 55720 | 2015-07-15 |
| 1639577729 | Fcsl Cloquet, LLC | Assisted Living Facility | 130 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1699173765 | Fcsl Cloquet, LLC | Assisted Living Facility | 132 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1134426778 | Fond Du Lac Reservation Business Committee | Assisted Living Facility | 1571 Airport Road, Fond Du Lac Assisted Living, Cloquet, MN 55720 | 2011-02-17 |
| 1417124553 | Kara Lynn Fausch | Family Medicine | 512 Skyline Boulevard, Cloquet, MN 55720 | 2008-05-08 |
| 1013199769 | Carlton Co Public Health & Human Services | Public Health or Welfare | 30 N 10th Street, Cloquet, MN 55720 | 2007-12-04 |
| 1881808616 | Stephen David Parkhurst | Chiropractor | 903 Cloquet Avenue, Cloquet, MN 55720 | 2007-05-10 |
| 1093929861 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 1576 White Pine Trail, Cloquet, MN 55720 | 2007-05-10 |
| 1235341231 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 6580 W Arrowhead Rd., Cloquet, MN 55720 | 2007-05-04 |
| Find all providers in zip 55720 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417124553 | Kara Lynn Fausch | Family Medicine | 512 Skyline Boulevard, Cloquet, MN 55720 | 2008-05-08 |
| 1912961228 | Mollie A Stapleton | Family Medicine | 927 Trettel Lane, Fond Du Lac Human Services Division, Cloquet, MN 55720 | 2006-04-13 |
| 1831176759 | Jessica Woodward Lavan | Family Medicine | 417 Skyline Blvd, Cloquet, MN 55720-1164 | 2005-12-30 |
| 1073021036 | Webmed LLC | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2018-01-11 |
| 1700313558 | Sarah Michelle Carlson | Family Medicine | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2017-05-11 |
| 1720441686 | Natalie Krier Arreola | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-03-29 |
| 1356751531 | Kiara Levar | Family Medicine | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2014-04-28 |
| 1659710374 | Shane Byrn Richardson | Family Medicine | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2013-06-15 |
| 1912344722 | Charity A Reynolds | Family Medicine | 927 Trettel Ln, Cloquet, MN 55720 | 2013-06-03 |
| 1518254366 | Adrianne Denise Westmoreland | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720 | 2011-06-30 |
| Find all providers in CLOQUET | ||||
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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.