Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053709675 Individual Practitioner Female Practitioner

Tavia Lynne Anderson

Driver • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Tavia Anderson is a registered healthcare professional specializing in Driver in Bloomington, MN. Practice services are available at 2400 W 102ND ST APT 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2400 W 102nd St Apt 101

Bloomington, MN 554313359

Telephone 6122034535
Fax 9522174427
Associated Practice Facility / Clinic
🏢 Gentle Guardians Llc Facility NPI 1588317002

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Bloomington, MN (239 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-24
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License 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

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 17, 2021

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

📍
Updated Business Mailing Address March 17, 2021

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

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

Counselor

NPI Profile Active January 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2015

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

📍
Updated Business Mailing Address January 05, 2015

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

👤
Provider Name / Credentials Updated January 05, 2015

Recorded as TAVIA ANDERSON

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

Driver (License #J430163453007 in MN)

🟢
Initial NPI Registration & Enumeration January 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.