Individual provider Active NPI

Valerie Ann Anderson, R.N.

  • Case Management Registered Nurse
  • Zimmerman, MN
National Provider Identifier
1902199383
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
R-103690-5 Issued in MN
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.

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

LicenseStateTypeSpecialty
R103690-5MNMDRegistered Nurse
R-103690-5MNMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Home Care II, Inc Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R-103690-5 MN Primary
Registered Nurse 163W00000X R103690-5 MN

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.