Stefani Sue Anderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R160648-7 Issued in MN

Practice address

416 2ND St NE
Cass Lake, MN 56633-3080

Phone

(218) 335-8868

NPI assigned

Sep 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Tru Healthcare, Inc.

  • In Home Supportive Care Agency
  • Arden Hills, MN
  • NPI 1982702932
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1194975698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 2ND ST NE",
            "address_2": "PO BOX 727",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333080",
            "telephone_number": "218-335-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 2ND ST NE",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333080",
            "telephone_number": "218-335-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEFANI",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R160648-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameena Ahmed-Buehler, MD
• Amy Jo Anderly-Dotson, L.A.D.C., L.I.C.S.W
• Brittany S Anderson
• Christine Ann Anderson, MT
• Dana P Baumgartner, RN
• Henry Louis Beauduy, MSW, LICSW
• Tiffany Beckman, M.D., M.P.H.
• Katharine Clarity Bertin
• Karen J Black, RN

• All providers in Cass Lake, MN
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.