Kayla Ann Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

59 Glenn Rd NW
Alexandria, MN 56308-4007

Phone

(320) 219-7644

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

No

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.

• Northway Academy, Inc.

  • Developmental Disabilities Clinic/Center
  • Alexandria, MN
  • NPI 1669047585
  NPD
• Northway Academy, Inc.

  • Developmental Disabilities Clinic/Center
  • Saint Cloud, MN
  • NPI 1104333715
  NPD (past)
• Northway Academy, Inc.

  • Community/Behavioral Health Agency
  • Elk River, MN
  • NPI 1114539434
  NPD (past)
• Northway Academy, Inc.

  • Community/Behavioral Health Agency
  • Sartell, MN
  • NPI 1841852639
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2021.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1295407138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GLENN RD NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084007",
            "telephone_number": "320-219-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GLENN RD NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084007",
            "telephone_number": "320-219-7644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 14th Ave E",
            "address_purpose": "LOCATION",
            "city": "Sartell",
            "state": "MN",
            "postal_code": "563774500",
            "country_code": "US",
            "telephone_number": "320-774-3436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7938 College Rd",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "564258636",
            "country_code": "US",
            "telephone_number": "218-270-2918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563031207",
            "country_code": "US",
            "telephone_number": "320-774-3915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 Old Cedar Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554252401",
            "country_code": "US",
            "telephone_number": "952-854-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19437 Evans St NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301074",
            "country_code": "US",
            "telephone_number": "763-515-3532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563031207",
            "country_code": "US",
            "telephone_number": "320-774-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emersen Anderson
• Jeffrey Ross Anderson, MD
• Jeremy R Anderson, OD
• Jodi Lynn Anderson, ATC
• Julie A Anderson, CNP
• Keri Ann Anderson, PA
• Kristi Anderson, RPH
• Leanne J Anderson, D.O.
• Roxanne Marie Anderson, PHD
• Sheryl Anderson

• All providers in Alexandria, MN
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.