Active NPI
Deborah Lea Anderson, ACADC, LMSW, SAP, RN
- Registered Nurse
- Centerville, IA
National Provider Identifier
1831248764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 064787
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IA0105 | Other | IA | JOHN 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11002 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| 86036 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| 03644 | IA | MD | Clinical Social Worker |
| 064787 | IA | MD | Registered 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.