Blane Ausen Anderson, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

5919 Issued in MN

Practice address

825 N Broadway St
New Ulm, MN 56073-1203

Phone

(507) 359-1932

Fax

(507) 354-1369

NPI assigned

Feb 16, 2007

Last updated

Mar 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1124162706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731203",
            "telephone_number": "507-359-1932",
            "fax_number": "507-354-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BLANE",
        "middle_name": "AUSEN",
        "name_prefix": "Mr.",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "5919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allina Health System (New Ulm Medical Center)
• Allina Health System (New Ulm Medical Center)
• Allina Health System (New Ulm Medical Center)
• Ambassadors for Spiritual & Mental Wellness (Recovery 101 Counseling Center)
• Elizabeth R Anderson-Elias, PSYD
• Brittany Lee Anderson
• Bryana Malner Andert, D.O.
• Karen Jean Appel, LICSW
• Victoria Lee Arizmendi
• Jimena Elizabeth Arroyo

• Audiologist-Hearing Aid Fitter in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Audiologist-Hearing Aid Fitter in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.