Kimberly R Anderson (NPI# 1609955087, PAC ID# 7719987833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1609955087 |
| PAC ID by PECOS | 7719987833 |
| Professional Enrollment ID | I20070112000366 |
| Full Name | Kimberly R Anderson |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
15800 95th Ave N Maple Grove MN 55369-4400 |
| Phone Number | 9529931440 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1323 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 15800 95th Ave N, Maple Grove, MN 55369-4400 | 9529931440 | PARK NICOLLET CLINIC |
| 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 9529938000 | PARK NICOLLET CLINIC |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Physicians | 1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Marie Irish | Nurse Practitioner | Park Nicollet Clinic | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Alexandra E Wells | Internal Medicine | Park Nicollet Clinic | 13688 Rogers Dr, Rogers, MN 55374-4916 |
| Mysoon M Ayuob | Family Medicine | Park Nicollet Clinic | 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 |
| Brian Lee Walters | Orthopedic Surgery | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Jared J Mell | Family Medicine | Park Nicollet Clinic | 4951 Excelsior Blvd, St Louis Park, MN 55416-3033 |
| Sean M Reardon | Clinical Psychologist | Park Nicollet Clinic | 9555 Upland N Ln, Maple Grove, MN 55369-4485 |
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Street Address |
15800 95TH AVE N |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle K Pemble | Psychologist, Clinical | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Kelly C Greco | Physician Assistant | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Mark W Depaolis | Family Medicine | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Ann M Strong | Physician Assistant | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Matthew D Neuger | Physical Therapy | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Scott M Hanneman | Psychologist, Clinical | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Carrie P Noran Jaeger | Physical Medicine and Rehabilitation | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Carmen J Jacobson | Physician Assistant | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Casey Malenstyn | Physician Assistant | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Daniel A Keeley | Internal Medicine | Park Nicollet Clinic | 15800 95th Ave N, Maple Grove, MN 55369-4400 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | MAPLE GROVE + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Kimberly R Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.