Individual provider Active NPI

Christine Maren Anderson, C.N.S.

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1780880781
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
R 089675 1 Issued in MN
Practice address
2550 University Ave W.
Suite 229N
St Paul, MN 55114-2290
Phone
(651) 645-3115
Fax
(651) 645-2752
NPI assigned
Jun 26, 2007
Last updated
Jan 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X R 089675 1 MN Primary

Addresses

Primary practice location

2550 University Ave W.
Suite 229N
St Paul, MN 55114-2290

Mailing address

2550 University Ave W.
Suite 229N
St Paul, MN 55114-2290
Phone (651) 645-3115

Other names 1

  • Ms. Christine Maren Nord Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
R 089675 1MNMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Recovery Inc CurrentSince Apr 12, 2011 Accepting new patients
Bhsi, LLC PastSince Oct 10, 2012 Accepting new patients
Psychiatric Recovery PA PastSince Apr 12, 2011 Accepting new patients

Locations

2550 University Ave W
Ste 229N
Saint Paul, MN 55114
Phone (651) 645-3115

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1780880781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W.",
            "address_2": "SUITE 229N",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551142290",
            "telephone_number": "651-645-3115",
            "fax_number": "651-645-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W.",
            "address_2": "SUITE 229N",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551142290",
            "telephone_number": "651-645-3115",
            "fax_number": "651-645-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHRISTINE",
        "middle_name": "MAREN",
        "name_prefix": "Ms.",
        "credential": "C.N.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MN",
            "license": "R 089675 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NORD",
            "middle_name": "MAREN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.