Active NPI
Janis D. Anderson, MA
- Audiologist
- Brainerd, MN
National Provider Identifier
1306904818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5118
- 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, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12D08HE | Other | MN | BLUE PLUS |
| 7314680-00 | Medicaid | MN | |
| 12D08HE | Other | MN | BLUE CROSS BLUE SHIELD |
| 4308814 | Other | MN | STATE ID |
| 640003703 | Other | MN | MEDICARE RAILROAD |
| 4500073 | Other | MN | MEDICA |
| 18DO8HE | Other | MN | BCBS DME |
| 411945552 | Other | FEDERAL ID |
Other names 1
- Ms. Janis D.a. Hoglund
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Crow Wing | Past | Accepting new patients | |
| Lakes Family Eyecare, Inc. | Past | Accepting new patients | |
| Eye Physicians Group LLC | Past | 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.
-
dba Health Department
- Public Health or Welfare Agency
- Brainerd, MN
- NPI 1194736553
-
- Optician
- Perham, MN
- NPI 1346381787
-
dba North Central Medical Supply and Equipment
- Oxygen Equipment & Supplies (DME)
- Baxter, MN
- NPI 1851397376
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.