Roxanne Lynn Anderson, BS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

521 Broadway Avenue North
Five County Mental Health Center - Braham Office
Braham, MN 55006

Phone

(320) 396-3333

Fax

(320) 396-3363

NPI assigned

Oct 21, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Five County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Braham, MN
  • NPI 1801015417
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1629220736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "address_2": "521 BROADWAY AVENUE NORTH",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "55006",
            "telephone_number": "320-396-3333",
            "fax_number": "320-396-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BROADWAY AVENUE NORTH",
            "address_2": "FIVE COUNTY MENTAL HEALTH CENTER - BRAHAM OFFICE",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "55006",
            "telephone_number": "320-396-3333",
            "fax_number": "320-396-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROXANNE",
        "middle_name": "LYNN",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Braham, MN
• Providers in Braham, MN by specialty
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.