Andrew Clark Hoistad

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1245 Gun Club Rd
White Bear Lake, MN 55110-3379

Phone

(612) 644-4887

NPI assigned

Oct 23, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wandrei Psychological Services

  • Clinical Psychologist
  • White Bear Lake, MN
  • NPI 1043093636
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1114799301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 HUMBOLDT AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233827",
            "telephone_number": "651-324-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 GUN CLUB RD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103379",
            "telephone_number": "612-644-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOISTAD",
        "first_name": "ANDREW",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Richard Heurung, D.C.
• Terry Hietpas, PHARMD
• Tara Lynn Hjelmberg, LMFT
• HMMS Holdings, PLLC
• Viktoria A Hodynsky, C.M.M.T, C.M.T
• Braxten Hoistad
• Colleen Holtz, DDS
• Diane Lynn Hovey
• Kelly Marie Hoyos
• Hudson Chiropractic, S.C.

• All providers in White Bear Lake, MN
• Student in an Organized Health Care Education/Training Program in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.