Nicole Anderson, ED.S

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

70324 Issued in SD

Practice address

2130 8TH St S
Brookings, SD 57006-3507

Phone

(605) 696-4707

Fax

(605) 696-4704

NPI assigned

Nov 26, 2019

Sex

Female

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.

• Brookings School District 5-1

  • Local Education Agency (LEA)
  • Brookings, SD
  • NPI 1972678423
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2019.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1639715576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 8TH ST S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063507",
            "telephone_number": "605-696-4707",
            "fax_number": "605-696-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 8TH ST S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063507",
            "telephone_number": "605-696-4707",
            "fax_number": "605-696-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICOLE",
        "credential": "ED.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SD",
            "license": "70324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Fern Andersen, C.N.P.
• Anderson Chiropractic LLC
• Grant Michael Anderson, D.C.
• Jennifer Anderson
• Kaitlyn Marie Anderson, LAC
• Andrea L. Uckert, LLC
• Elizabeth Anna Angove-Milianta, BS
• Forrest Anshutz, PT
• Hunter Anshutz, DPT
• Heather Asmussen, BCBA; LABA

• All providers in Brookings, SD
• School Psychologist in South Dakota

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