Debra S.L. Linderblood, R.D.
Individual provider Active NPI Registered Dietitian · Nevada, IA
NPI 1164669271 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1164669271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 00223 (IA)
- Practice address
- 640 South 19TH St
Nevada, IA 50201 - Phone
- (515) 382-2111
- Fax
- (515) 382-7760
- NPI assigned
- Jan 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00223 | IA | Yes |
Addresses
Primary practice location
640 South 19TH St
Nevada, IA 50201
Mailing address
640 South 19TH Street
Nevada, IA 50201
Phone (515) 382-2111
Other names
- Debra S.L. Lange Neubauer
Other providers in Nevada, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.