Individual provider Active NPI

Deborah Lea Anderson, ACADC, LMSW, SAP, RN

  • Registered Nurse
  • Centerville, IA
National Provider Identifier
1831248764
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
064787 Issued in IA
Practice address
221 E State St
Centerville, IA 52544-1813
Phone
(641) 856-2775
Fax
(641) 856-2779
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 86036 IA
Addiction (Substance Use Disorder) Counselor 101YA0400X 11002 IA
Clinical Social Worker 1041C0700X 03644 IA
Registered Nurse 163W00000X 064787 IA Primary

Addresses

Primary practice location

221 E State St
Centerville, IA 52544-1813

Mailing address

1134 650TH Ave
Albia, IA 52531-8872
Phone (641) 344-1384

Other identifiers 1

IdentifierTypeStateIssuer
IA0105OtherIAJOHN DEERE HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
11002IAMDAddiction (Substance Use Disorder) Counselor
86036IAMDAddiction (Substance Use Disorder) Counselor
03644IAMDClinical Social Worker
064787IAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1831248764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 650TH AVE",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525318872",
            "telephone_number": "641-344-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E STATE ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441813",
            "telephone_number": "641-856-2775",
            "fax_number": "641-856-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DEBORAH",
        "middle_name": "LEA",
        "credential": "ACADC, LMSW, SAP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "86036",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "11002",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "03644",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "064787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTHCARE",
            "identifier": "IA0105",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.