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SHIRLEY M ANDERSON MA CCCA
NPI 1124007463
Audiologist in Mankato, MN

Active since January 14, 2006
1421 PREMIER DR, MANKATO CLINIC AT WICKERSHAM CAMPUS, MANKATO, MN 56001(507) 625-1811 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shirley M Anderson Ma Ccca NPPES

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

SHIRLEY M ANDERSON MA CCCA (NPI 1124007463) is an individual audiologist in Mankato, Minnesota, licensed in Minnesota (6054) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1124007463
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameSHIRLEY M ANDERSONCredential: MA CCCA
Location Address1421 PREMIER DR, MANKATO CLINIC AT WICKERSHAM CAMPUSMankato, MN 56001
Mailing AddressPo Box 8674, 1230 E Main StMankato, MN 56002-8674 · (507) 625-1811
Phone(507) 625-1811
Sole ProprietorNo
Enumeration DateJanuary 14, 2006
Last NPPES UpdateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1124007463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MN · 6054
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1421 PREMIER DR, Mankato, MN 56001
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Other Identifiers 8

Other1758785MN · Americas Ppo
Other640003648Rr Medicare
OtherHP40597MN · Health Partners
OtherNA2951023870MN · Preferred One
Other29Q96ANMN · Bcbs
Medicaid586515800MN
Other4511090MN · Medica
Other117664MN · Ucare

Other Providers at the Same Location NPPES 20

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

RICHARD J PELLER MD
Family Medicine
1421 PREMIER DR, MANKATO CLINIC
MANKATO, MN 56001
Blue Earth County (507) 625-1811
JAYA WADHAWAN
Pediatrics
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
ABBY JEAN BARLAMENT MSW, LICSW
Social Worker (Clinical)
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
DARLA J WRAGE MD
Pediatrics
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
DR. COLIN W. WEERTS D.O.
Family Medicine
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1421 PREMIER DR, SUITE 100
MANKATO, MN 56001
Blue Earth County (507) 207-2700
DR. NATHANIEL LEE GRAHAM O.D.
Optometrist
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 385-4070
KATHERINE A. ANDERSON M.D.
Family Medicine
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811

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 Shirley Anderson's NPI number?

The NPI number for Shirley Anderson is 1124007463. It was assigned to this individual provider in the NPPES registry on January 14, 2006.

Where is Shirley Anderson located?

Shirley Anderson practices at 1421 Premier Dr Mankato Clinic At Wickersham Campus, Mankato, MN 56001. The listed phone number is (507) 625-1811.

What is Shirley Anderson's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Shirley Anderson was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.