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Tavia Lynne Anderson

Driver β€’ Bloomington, MN

Active NPI 1053709675 Individual Practitioner Female Practitioner
Practice location in NPPES

2400 W 102nd St Apt 101
Bloomington, MN 554313359

Call 6122034535 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2400 W 102nd St Apt 101

Bloomington, MN 554313359

Telephone 6122034535
Fax 9522174427
Organization at the Same NPPES Address or Phone
Gentle Guardians Llc Facility NPI 1588317002

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomington and Minnesota

6 active clinicians are listed under Driver with a practice address in Bloomington, MN (233 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-24
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES MN J430163453007

A person employed to operate a motor vehicle as a carrier of persons or property.

Social Worker

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Home Health

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 17, 2021

Registered at 2400 W 102ND ST APT 101, BLOOMINGTON, MN 554313359 (Tel: 6122034535)

πŸ“
Updated Business Mailing Address March 17, 2021

Registered at 2400 W 102ND ST APT 101, BLOOMINGTON, MN 554313359 (Tel: 6122034535)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2021

Counselor

βœ…
NPI Profile Active January 05, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 05, 2015

Registered at 7121 CLINTON AVE, RICHFIELD, MN 554233252 (Tel: 6122034535)

πŸ“
Business Mailing Address (Initial Record) January 05, 2015

Registered at 7121 CLINTON AVE, RICHFIELD, MN 554233252 (Tel: 6122034535)

πŸ‘€
Provider Name / Credentials (Initial Record) January 05, 2015

Recorded as TAVIA ANDERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2015

Driver (license number reported to NPPES: MN J430163453007)

🟒
Initial NPI Registration & Enumeration January 05, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053709675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2015
Last Update: March 17, 2021
Sole Proprietor: Yes

Mailing Address

2400 W 102nd St Apt 101

Bloomington, MN 554313359

Phone: 6122034535

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.