DR. JESSICA LEE ANDERSON (NPI# 1982249009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982249009 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LEE ANDERSON |
| Credential | PSYD |
| Practice Address |
4801 Veterans Dr Saint Cloud MN 56303-2015 |
| Mailing Address |
3812 8th Street North Suite 200 Saint Cloud MN 56303 |
| Practice Telephone | 3202521670 |
| Mailing Telephone | 3202583833 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP6475 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3812 8th Street North Suite 200, St. Cloud, MN 563032015 | 3202583833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245837 | Jessica N Anderson | Adult Companion | 1640 Arville St, Las Vegas, NV 89102-3840 | 2020-08-16 |
| 1699239236 | Jessica Anderson | Occupational Therapist | 20 County Barn Rd, Booneville, KY 41314-6500 | 2019-01-28 |
| 1275034423 | Jessica Dharma Anderson | Social Worker | 11 Woods Pond Drive, Westford, MA 01886 | 2018-02-23 |
| 1396275376 | Jessica Anna Anderson | Licensed Vocational Nurse | 539 Mitchell Ave, Turlock, CA 95380-4043 | 2017-06-13 |
| 1841739935 | Jessica Anderson | Speech-Language Pathologist | 6624 Beck Dr Ne, Albuquerque, NM 87109-3702 | 2017-02-22 |
| 1144769878 | Jessica Anderson | Nurse's Aide | 2803 Wooded Ln, Mchenry, IL 60051-7889 | 2017-02-14 |
| 1508302498 | Jessica Leah Anderson | Physical Therapy Assistant | 3620 Applewood Rd, North Chesterfield, VA 23234-4821 | 2017-01-16 |
| 1922557271 | Jessica Byers Anderson | Massage Therapist | 104 W Hilliard Ln, Eugene, OR 97404-3012 | 2016-09-28 |
| 1841668175 | Jessica Elise Anderson | Occupational Therapist | 731 S 16th St Apt 2f, Philadelphia, PA 19146-2126 | 2015-09-03 |
| 1073892097 | Jessica Lauren Anderson | Speech-Language Pathologist | 413 W Bloomfield Ave, Royal Oak, MI 48073-2567 | 2011-08-08 |
| Street Address |
4801 VETERANS DR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675629 | Michelle P Pittman-leyendecker | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2005-10-31 |
| 1255939773 | Samantha Stager | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-10-16 |
| 1447866587 | Alyssa L Pumford | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-09-22 |
| 1427663905 | John David Estep | Social Worker | 4801 Veterans Dr, B28 Rm 155, Saint Cloud, MN 56303-2099 | 2020-09-11 |
| 1962012823 | Kelly A Pittman | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1356951297 | Alyssa Anne Berscheid | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1790395861 | Anna Elisabeth Lee | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-04 |
| 1932718004 | Bradee Schiefelbein | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-07-24 |
| 1346865532 | Kali Rae Pichotta | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-06-12 |
| 1174145783 | Renae Elizabeth Lockerby | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1154668861 | Tania I Marrero | Psychologist | 1441 Lake Parkway Dr, Saint Cloud, FL 34771 | 2013-01-15 |
| 1225203656 | John Charles Pucel | Psychologist | 1481 25th St Se, Saint Cloud, MN 56304-9500 | 2008-04-27 |
| 1568642841 | Eric Lester Felsch | Psychologist | 1407 33rd St S, Saint Cloud, MN 56301-5197 | 2007-11-05 |
| 1790893949 | Karem Cando Rovira | Psychologist | 2521 13th St Ste F, Saint Cloud, FL 34769-4103 | 2006-08-28 |
| 1659917599 | Brenda L Arroyo Crespo | Psychologist | 2521 13th St Ste F, Saint Cloud, FL 34769-4103 | 2019-11-26 |
| 1457815391 | Shannon Marie Sommer | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2019-01-24 |
| 1962971242 | Stephanie Anne Born | Psychologist | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2018-11-16 |
| 1801370416 | Andrew Dahlstrom | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2018-09-19 |
| 1578928016 | Brianna Salater | Psychologist | 1406 6th Ave N, Saint Cloud, MN 56303 | 2015-12-29 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on DR. JESSICA LEE ANDERSON.
| 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.