DEBRA L ANDERSON (NPI# 1306133095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306133095 |
| Entity Type | Individual |
| Full Name | DEBRA L ANDERSON |
| Other Name | DEBRA LEE BRODERSEN |
| Credential | ARNP, FNP-C |
| Practice Address |
404 N Chestnut Street Johnson KS 67855-0639 |
| Mailing Address |
Po Box 639 Johnson KS 67855-0639 |
| Practice Telephone | 6204921400 |
| Practice Fax Number | 6204921608 |
| Mailing Telephone | 6204921400 |
| Mailing Fax Number | 6204921608 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 108186 | IA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A-108186 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528611803 | Debra Ann Anderson | Homemaker | 4150 E 136th St, Cleveland, OH 44105-5568 | 2019-07-16 |
| 1497225544 | Debra Anderson | Registered Nurse | 3448 County Line Rd, Corfu, NY 14036-9406 | 2018-12-03 |
| 1053890624 | Debra Anderson | Licensed Practical Nurse | 106 Verna Joe, Whitney, TX 76692-5800 | 2018-08-14 |
| 1295193894 | Debra Anderson | Counselor | 408 Winston Way, Frankfort, KY 40601-4552 | 2016-02-10 |
| 1962830661 | Debra Anderson | Occupational Therapist | 606 Duff Rd Ne, Leesburg, VA 20176-4961 | 2013-10-16 |
| 1184972168 | Debra Anderson | Licensed Practical Nurse | 22506 230th St, Milford, IA 51351-7107 | 2012-08-22 |
| 1972784650 | Debra J Anderson | Case Manager/Care Coordinator | 130 W Bastanchury Rd, Fullerton, CA 92835-2502 | 2007-11-21 |
| 1922139195 | Debra S Anderson | Dermatology | 4460 Red Bank Rd Ste 130, Cincinnati, OH 45227-2173 | 2007-03-08 |
| 1689152597 | Debra Anderson | Physical Therapist | 300 Glen Creek Rd Nw, Salem, OR 97304 | 2018-08-02 |
| 1497200364 | Debra Lynn Anderson | Pharmacist | 1610 Church St Ste U, Conway, SC 29526-2932 | 2016-08-22 |
| Street Address |
404 N CHESTNUT STREET |
| City | JOHNSON |
| State | KS |
| Zip Code | 67855-0639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033594775 | Nayive Ellis | Social Worker | 104 S. Main Street, Johnson, KS 67855 | 2015-07-23 |
| 1811312994 | Elizabeth Ann Bailey | Nurse Practitioner | 404 North Chestnut Street, Johnson, KS 67855 | 2014-02-25 |
| 1508921800 | Waldron Pharmacy, Inc. | Pharmacy | 111 S Main, Johnson, KS 67855 | 2006-12-27 |
| 1437141850 | Stanton County Hospital | Nurse Practitioner | 106 E. Greenwood North, Johnson, KS 67855-0502 | 2005-08-22 |
| 1225167414 | County of Stanton | Public Health or Welfare | 114 North Main Street, Johnson City, KS 67855-0548 | 2007-03-05 |
| 1295792869 | County of Stanton | Ambulance | 101 S Frontage Road, Johnson, KS 67855-0572 | 2006-04-27 |
| 1003206442 | Kent Waldron | Pharmacist | 111 S. Main, Johnson, KS 67855-0579 | 2015-01-23 |
| 1679880363 | Stanton County Hospital | Family Medicine | 404 N Chestnut St, Johnson, KS 67855-0639 | 2010-09-02 |
| 1013978485 | County of Stanton | Family Medicine | 114 N Main St, Johnson, KS 67855-0639 | 2006-03-28 |
| 1295815041 | William R. Troup M.d. | Family Medicine | 101 E Greenwood Avenue North, Johnson, KS 67855-0699 | 2006-10-16 |
| Find all providers in zip 67855 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578797882 | Paul Rogers Md | Nurse Practitioner | 224 Railroad St., Johnson, VT 05656 | 2009-05-14 |
| 1437141850 | Stanton County Hospital | Nurse Practitioner | 106 E. Greenwood North, Johnson, KS 67855-0502 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
| 1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.