Shawn D. Anderson, B.S.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

515 Bridge St
Park Rapids, MN 56470-1210

Phone

(218) 366-9229

NPI assigned

Nov 1, 2006

Sex

Male

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.

• Lake Country Associates, Inc.

  • Community/Behavioral Health Agency
  • Park Rapids, MN
  • NPI 1104151588
  NPD (past)
• Peterson Medical Clinics, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1699295774
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2010.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1346327004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564700454",
            "telephone_number": "218-255-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BRIDGE ST",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701210",
            "telephone_number": "218-366-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHAWN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Eric Andersen, D.D.S.
• Deborah A Anderson, LPC
• Elissa Kuznia Anderson, LICSW
• Rita Jean Anderson, MA, LPCC, LADC
• Sara Anderson, OTR/L
• Anesthesia Care Team, P.a.
• Loretta Jayne Bach Gansen, L.A.D.C.
• Anita Bagstad, APRN,CNP
• Monica Baso
• Susan Bauer, D.O.

• All providers in Park Rapids, MN
• Rehabilitation Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.