Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Debra A Anderson , LPN

Licensed Practical Nurse β€’ Canton, OH

Active NPI 1760991210 Individual Practitioner Female Practitioner
Practice location in NPPES

1341 Market Ave N
Canton, OH 447142605

Call 3304538252 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1341 Market Ave N

Canton, OH 447142605

Telephone 3304538252
Fax 3304524655
Organization at the Same NPPES Address or Phone
Quest Recovery And Prevention Services, Inc. Facility NPI 1407805682

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

225 active clinicians are listed under Licensed Practical Nurse with a practice address in Canton, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 225 clinicians have the CMS telehealth indicator.

0% of these 225 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.123512.MEDS

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0244205 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1245230093

Doctor of Medicine (M.D.)

Richard Klingenhagen , APRN-CNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1881381119

Advanced Practice Registered Nurse - Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Ashlie Martin , MD

Family Medicine - Addiction Medicine

NPI 1811488232

Doctor of Medicine (M.D.)

Jensen Moon , LISW

Social Worker - Clinical

NPI 1790236792

Licensed Independent Social Worker

Erin Morabito , APRN-CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1386192953

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 04, 2023

Registered at 1341 MARKET AVE N, CANTON, OH 447142605 (Tel: 3304538252)

πŸ‘€
Provider Name / Credentials Updated January 04, 2023

Recorded as DEBRA ANDERSON, LPN

πŸ“
Updated Practice Location December 22, 2021

Registered at 2600 SIXTH ST SW FL 6, CANTON, OH 447101702 (Tel: 3308303393)

βœ…
NPI Profile Active September 28, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 28, 2017

Registered at 1341 MARKET AVE N, CANTON, OH 447142605 (Tel: 3304538252)

πŸ“
Business Mailing Address (Initial Record) September 28, 2017

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

πŸ‘€
Provider Name / Credentials (Initial Record) September 28, 2017

Recorded as DEBRA COMPETTI, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2017

Licensed Practical Nurse (license number reported to NPPES: OH LPN.123512.MEDS)

🟒
Initial NPI Registration & Enumeration September 28, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1760991210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2017
Last Update: January 04, 2023
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304538252

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.