Individual provider Active NPI

Janis D. Anderson, MA

  • Audiologist
  • Brainerd, MN
National Provider Identifier
1306904818
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5118 Issued in MN
Practice address
314 Charles St
Brainerd, MN 56401-3208
Phone
(218) 855-1247
Fax
(218) 855-1248
NPI assigned
Dec 5, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5118 MN Primary

Addresses

Primary practice location

314 Charles St
Brainerd, MN 56401-3208

Mailing address

645 2ND St SW
Perham, MN 56573-1101
Phone (218) 346-5384

Other identifiers 8

IdentifierTypeStateIssuer
12D08HEOtherMNBLUE PLUS
7314680-00MedicaidMN
12D08HEOtherMNBLUE CROSS BLUE SHIELD
4308814OtherMNSTATE ID
640003703OtherMNMEDICARE RAILROAD
4500073OtherMNMEDICA
18DO8HEOtherMNBCBS DME
411945552OtherFEDERAL ID

Other names 1

  • Ms. Janis D.a. Hoglund Former name

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
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
County of Crow Wing Past Accepting new patients
Lakes Family Eyecare, Inc. PastSince Apr 7, 2009 Accepting new patients
Eye Physicians Group LLC PastSince Oct 16, 2024 Accepting new patients
North Central Medical Supply, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1306904818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 2ND ST SW",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731101",
            "telephone_number": "218-346-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CHARLES ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013208",
            "telephone_number": "218-855-1247",
            "fax_number": "218-855-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JANIS",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "12D08HE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7314680-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12D08HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "4308814",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "640003703",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4500073",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME",
            "identifier": "18DO8HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID",
            "identifier": "411945552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "HOGLUND",
            "middle_name": "D.A.",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.