Individual provider Active NPI

Emily Anderson, CNS

  • Gerontology Clinical Nurse Specialist
  • Burnsville, MN
National Provider Identifier
1306254206
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
565 Issued in MN
Practice address
3000 County Road 42 W Ste 208
Burnsville, MN 55337-4826
Phone
(757) 871-3543
Fax
(612) 448-0046
NPI assigned
Jul 24, 2014
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 565 MN Primary

Addresses

Primary practice location

3000 County Road 42 W Ste 208
Burnsville, MN 55337-4826

Mailing address

3000 County Road 42 W Ste 208
Burnsville, MN 55337-4826
Phone (612) 405-3839

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)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Women's Health PLLC CurrentSince Jul 28, 2024 Accepting new patients
Medstudio, PLLC PastSince Mar 1, 2022 Accepting new patients
Medical Consultants Clinic PA PastSince Mar 1, 2019 Accepting new patients

Locations

3000 County Road 42 W
Ste 208
Burnsville, MN 55337
Phone (612) 710-5455

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1306254206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COUNTY ROAD 42 W STE 208",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374826",
            "telephone_number": "612-405-3839",
            "fax_number": "612-448-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COUNTY ROAD 42 W STE 208",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374826",
            "telephone_number": "757-871-3543",
            "fax_number": "612-448-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EMILY",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MN",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.