Sandra Anderson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9300 Issued in MN

Practice address

1 General Mills Blvd
Minneapolis, MN 55426-1347

Phone

(763) 764-4448

Fax

(763) 764-6180

NPI assigned

Mar 15, 2006

Last updated

Jul 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandra Estenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• St. Mary's Duluth Clinic Health System

  • Clinical Medical Laboratory
  • Superior, WI
  • NPI 1205866928
  NPD
• St. Mary's Hospital of Superior

  dba Essentia Health St. Mary's-Superior Clinic

  • Critical Access Hospital Clinic/Center
  • Superior, WI
  • NPI 1588691588
  NPD
• Carlson Chiropractic Health and Healing Inc.

  • Chiropractor
  • Maple Plain, MN
  • NPI 1083747711
  NPD (past)
• Now Medical, Inc

  • Urgent Care Clinic/Center
  • Maple Grove, MN
  • NPI 1306993142
  NPD (past)
• Ridgeview Clinics

  dba Ridgeview Specialty Clinic

  • Gastroenterology Physician
  • Waconia, MN
  • NPI 1710147392
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1316916026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENERAL MILLS BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261347",
            "telephone_number": "763-764-4448",
            "fax_number": "763-764-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL MILLS BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261347",
            "telephone_number": "763-764-4448",
            "fax_number": "763-764-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SANDRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702600500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "ESTENSON",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pauline Anderson
• Rita Ann Anderson, NP
• Robert Edward Anderson, OTR/L
• Robert Joshua Anderson, CCC-SLP
• Ruth Emily Anderson, N.P.
• Sandra Kodadek Anderson, OT
• Sanford J Anderson, MD
• Sara Sellie Anderson
• Scott Michael Anderson, D.C.
• Shannan Lee Anderson

• Physician Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.