Debra Ann Tuttle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1384 Issued in NE

Practice address

11252 S 200TH St
Gretna, NE 68028-4541

Phone

(402) 659-6507

Fax

(402) 916-9654

NPI assigned

Mar 1, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alegent Creighton Health

  dba CHI Health Psychiatric Associates

  • Psychiatry Physician
  • Council Bluffs, IA
  • NPI 1770922437

  Mental Health

  Medicare reassignment NPD
• Alegent Health Community Memorial Hospital of Missouri Valley Iowa

  dba CHI Health Missouri Valley

  • Family Medicine Physician
  • Missouri Valley, IA
  • NPI 1023154176
  Medicare reassignment NPD
• Alegent Creighton Health

  dba CHI Health

  • Community/Retail Pharmacy
  • Lincoln, NE
  • NPI 1598423220
  NPD
• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa

  dba CHI Health Clinic Oakland

  • Rural Health Clinic/Center
  • Oakland, IA
  • NPI 1366063794
  NPD
• Lukis Counseling Inc

  • Counselor
  • Gretna, NE
  • NPI 1336214378
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1265730196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 5TH ST",
            "city": "NEOLA",
            "state": "IA",
            "postal_code": "515593058",
            "telephone_number": "402-332-8473",
            "fax_number": "402-916-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11252 S 200TH ST",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284541",
            "telephone_number": "402-659-6507",
            "fax_number": "402-916-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3825",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES LMHP",
            "identifier": "3825",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES LMSW",
            "identifier": "1384",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lexi Toft
• Delaina Marie Toothman
• James Treat III
• Nora Treat
• Violet Truesdell
• U-Save Pharmacy Inc (U Save Pharmacy Gretna)
• Melanie Ruth Van Blarcom, RN
• Mary Joanne Vandenbroucke
• Laura-Catherine Vargo, MD
• Soudaphone Visonnavong

• Clinical Social Worker in Gretna, NE
• Providers in Gretna, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.