Individual provider Active NPI

Lynn Ella Anderson

  • Home Health Aide
  • Milaca, MN
National Provider Identifier
1376003293
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HE-01084-04 Issued in MN
Practice address
9981 90TH Ave
Milaca, MN 56353-4502
Phone
(320) 267-0897
NPI assigned
Mar 25, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HE-01084-04 MN Primary

Addresses

Primary practice location

9981 90TH Ave
Milaca, MN 56353-4502

Mailing address

9981 90TH Ave
Milaca, MN 56353-4502
Phone (320) 267-0897

Other practice location 1

9981 90th Ave
Milaca, MN 56353-4502
Phone (320) 267-0897

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1376003293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9981 90TH AVE",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563534502",
            "telephone_number": "320-267-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 90TH AVE",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563534502",
            "telephone_number": "320-267-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9981 90th Ave",
            "address_purpose": "LOCATION",
            "city": "Milaca",
            "state": "MN",
            "postal_code": "563534502",
            "country_code": "US",
            "telephone_number": "320-267-0897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LYNN",
        "middle_name": "ELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "HE-01084-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milaca, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.