Andrea Gene Anderson, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R190673-4 Issued in MN

Practice address

246 South Main Street
Prairie River Home Care
Hutchinson, MN 55535

Phone

(320) 587-5162

Fax

(320) 234-7950

NPI assigned

Mar 28, 2013

Last updated

Mar 28, 2013By the provider in NPPES

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 on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1801139852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SOUTH MAIN STREET",
            "address_2": "PRAIRIE RIVER HOME CARE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "55535",
            "telephone_number": "320-587-5162",
            "fax_number": "320-234-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SOUTH MAIN STREET",
            "address_2": "PRAIRIE RIVER HOME CARE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "55535",
            "telephone_number": "320-587-5162",
            "fax_number": "320-234-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREA",
        "middle_name": "GENE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R190673-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adapthealth Minnesota LLC
• Aegis Group Practice LLC
• James E. Allen, M.D.
• Kathy Jo Altmann, RN
• Matthew Aaron Alvey, PHARMD, RPH
• Kirsten Anderson
• Mary E Anderson, MA, LAMFT
• Marysa Carolyne Anderson, LPN
• Randy David Anderson, DC
• Shawna Anderson, PTA

• Registered Nurse in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.