IndividualActive
Andrea Dickinson
NPI 1508482654 · Family Nurse Practitioner · Golden Valley, MN
Provider details
- NPI number
- 1508482654
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7478 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1415 Lilac Dr N Ste 190
Golden Valley, MN 55422-4544
Phone: (763) 267-8701
Street-level locationGet directions
Mailing address
1415 Lilac Dr N Ste 190
Golden Valley, MN 55422-4544
Registry dates
- Enumerated
- 2020-06-24
- Last updated
- 2020-06-24
- Certified
- 2020-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.