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MS. TAVIA LYNNE ANDERSON
NPI 1053709675
Driver in Bloomington, MN

Active since January 05, 2015
2400 W 102ND ST APT 101, BLOOMINGTON, MN 55431(612) 203-4535(952) 217-4427 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tavia Lynne Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TAVIA LYNNE ANDERSON (NPI 1053709675) is an individual driver provider in Bloomington, Minnesota, licensed in Minnesota (J430163453007) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1053709675
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameMS. TAVIA LYNNE ANDERSON
Location Address2400 W 102ND ST APT 101Bloomington, MN 55431-3359
Mailing Address2400 W 102nd St Apt 101Bloomington, MN 55431-3359 · (612) 203-4535 · Fax (952) 217-4427
Phone(612) 203-4535
Fax(952) 217-4427
Sole ProprietorYes
Enumeration DateJanuary 5, 2015
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1053709675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in MN · J430163453007
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedHome HealthTaxonomy 251E00000X
2400 W 102ND ST APT 101, Bloomington, MN 55431
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENTLE GUARDIANS LLC
Home Health
2400 W 102ND ST APT 101
BLOOMINGTON, MN 55431
Hennepin County (612) 203-4535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tavia Anderson's NPI number?

The NPI number for Tavia Anderson is 1053709675. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Tavia Anderson located?

Tavia Anderson practices at 2400 W 102nd St Apt 101, Bloomington, MN 55431. The listed phone number is (612) 203-4535.

What is Tavia Anderson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Tavia Anderson was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.