Active NPI
Valerie Ann Anderson, R.N.
- Case Management Registered Nurse
- Zimmerman, MN
National Provider Identifier
1902199383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- R-103690-5
- Practice address
- 12567 5TH Ave N
Suite 100
Zimmerman, MN 55398-8451 - Phone
- (763) 856-9955
- Fax
- (763) 856-9956
- NPI assigned
- May 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Home Health Agency
- Zimmerman, MN
- NPI 1174723746
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R103690-5 | MN | MD | Registered Nurse |
| R-103690-5 | MN | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Home Care II, Inc | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R-103690-5 | MN | Primary |
| Registered Nurse | 163W00000X | R103690-5 | MN |
Addresses
NPPES NPI RegistryPrimary practice location
12567 5TH Ave N
Suite 100
Zimmerman, MN 55398-8451
Mailing address
12567 5TH Ave N
Suite 100
Zimmerman, MN 55398-8451
Phone (763) 856-9955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2011.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1902199383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12567 5TH AVE N",
"address_2": "SUITE 100",
"city": "ZIMMERMAN",
"state": "MN",
"postal_code": "553988451",
"telephone_number": "763-856-9955",
"fax_number": "763-856-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12567 5TH AVE N",
"address_2": "SUITE 100",
"city": "ZIMMERMAN",
"state": "MN",
"postal_code": "553988451",
"telephone_number": "763-856-9955",
"fax_number": "763-856-9956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "VALERIE",
"middle_name": "ANN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MN",
"license": "R-103690-5",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R103690-5",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zimmerman, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.