Active NPI
Buddy Joe Donaldson, LSW
- Social Worker
- Rochester, MN
National Provider Identifier
1225441462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22517
- Practice address
- 602 11TH Ave NW Suite 300
Rochester, MN 55901 - Phone
- (507) 292-1379
- NPI assigned
- Jun 5, 2014
- Last updated
- Jun 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 22517 | MN | Primary |
Addresses
Primary practice location
602 11TH Ave NW Suite 300
Rochester, MN 55901
Mailing address
6011 Stage Coach Rd
Stewartville, MN 55976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22517 | MN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1225441462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 STAGE COACH RD",
"city": "STEWARTVILLE",
"state": "MN",
"postal_code": "55976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 11TH AVE NW SUITE 300",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55901",
"telephone_number": "507-292-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "BUDDY",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "22517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.