Active NPI
Jamie Jones, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Buffalo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3630
- Practice address
- 30 1St Ave NE Ste 7
Buffalo, MN 55313-1515 - Phone
- (763) 400-8177
- Fax
- (304) 301-3047
- NPI assigned
- Feb 13, 2015
- Last updated
- Aug 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP3630 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3630 | MN | Primary |
Addresses
Primary practice location
30 1St Ave NE Ste 7
Buffalo, MN 55313-1515
Mailing address
30 1St Ave NE Ste 7
Buffalo, MN 55313-1515
Phone (763) 400-8177
Other practice location 1
9201 Quaday Ave NE Ste 205
Otsego, MN 55330-6604
Phone (763) 400-8177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411952112 | Other | MN | TAX ID |
Other names 1
- Jamie J Anderson
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
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intentional Wellness Solutions | Current | Accepting new patients |
Locations
30 1st Ave NE
Ste 7
Buffalo, MN 55313
Phone (763) 400-8177
121 Adams St S
Cambridge, MN 55008
Phone (763) 442-4111
9201 Quaday Ave NE
Ste 205
Otsego, MN 55330
Phone (763) 309-1005
Organizations & group practices 1
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.
-
- Clinic/Center
- Buffalo, MN
- NPI 1275172462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1548651409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 1ST AVE NE STE 7",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131515",
"telephone_number": "763-400-8177",
"fax_number": "304-301-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 1ST AVE NE STE 7",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131515",
"telephone_number": "763-400-8177",
"fax_number": "304-301-3047"
}
],
"practiceLocations": [
{
"address_1": "9201 Quaday Ave NE Ste 205",
"address_purpose": "LOCATION",
"city": "Otsego",
"state": "MN",
"postal_code": "553306604",
"country_code": "US",
"telephone_number": "763-400-8177",
"fax_number": "304-301-3047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "JAMIE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-13",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "CNP3630",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "3630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "411952112",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "ANDERSON",
"middle_name": "J",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.