Active NPI
Julie A Anderson, CNP
- Family Nurse Practitioner
- Alexandria, MN
National Provider Identifier
1811988207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R-143171-7
- Practice address
- 610 30TH Ave W
Alexandria, MN 56308-3426 - Phone
- (320) 763-5123
- Fax
- (320) 763-2559
- NPI assigned
- Nov 3, 2005
- Last updated
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R-143171-7 | MN | Primary |
Addresses
Primary practice location
610 30TH Ave W
Alexandria, MN 56308-3426
Mailing address
610 30TH Ave W
Alexandria, MN 56308-3426
Phone (320) 763-5123
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107112 | Other | MEDICA HEALTH PLANS | |
| 1811988207 | Medicaid | MN | |
| 52F18NE | Other | BCBS | |
| H400228732 | Other | MN | MEDICARE NGS |
| HP33892 | Other | HEALTH PARTNERS | |
| 140111 | Other | U-CARE | |
| 1025442 | Other | PREFERRED ONE | |
| 1366501 | Other | ARAZ GROUP/AMERICAS PPO | |
| 50009054 | Other | RR MEDICARE |
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, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906 | MN | MD | Physician Assistant |
| R-143171-7 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1811988207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 30TH AVE W",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083426",
"telephone_number": "320-763-5123",
"fax_number": "320-763-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 30TH AVE W",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083426",
"telephone_number": "320-763-5123",
"fax_number": "320-763-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JULIE",
"middle_name": "A",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R-143171-7",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HEALTH PLANS",
"identifier": "0107112",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811988207",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52F18NE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NGS",
"identifier": "H400228732",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP33892",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U-CARE",
"identifier": "140111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1025442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ GROUP/AMERICAS PPO",
"identifier": "1366501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "50009054",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.