DR. DEBORAH LYNN GERDES (NPI# 1518244151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518244151 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH LYNN GERDES |
| Other Name | DR. DEBORAH LYNN SERBER |
| Credential | PSY.D. |
| Practice Address |
13819 Hanson Blvd Nw Andover MN 55304 |
| Mailing Address |
3700 W Kilgore Ave Muncie IN 47304-4810 |
| Practice Telephone | 6126726999 |
| Mailing Telephone | 7652895437 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC01422 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Decatur Ave N Ste 109, Golden Valley, MN 554274363 | 6127988169 | |
| 3700 W Kilgore Ave, Muncie, IN 473044810 | 7652895437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255366001 | Deborah A Gerdes | Internal Medicine | 2123 Auburn Ave Ste 334, Cincinnati, OH 45219-2906 | 2006-07-11 |
| Street Address |
13819 HANSON BLVD NW |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881656296 | David Robert Bachman | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2006-04-03 |
| 1457820912 | Jason Emold Nesler | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-11-14 |
| 1861999195 | Chee Lor | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-04-12 |
| 1073013181 | Stephanie Lynn Piche | Nurse Practitioner | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-02-15 |
| 1326402256 | Islam Zineldin | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2016-04-06 |
| 1124487624 | Joseph Aaron Gray Wilkie | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2016-02-12 |
| 1063883338 | Kelly L Nguyen | Nurse Practitioner | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2015-10-13 |
| 1881017150 | Dana Thilges | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2014-01-22 |
| 1437581824 | Tiffany N Ling | Nurse Practitioner | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2013-08-07 |
| 1427349463 | Susan Pleasants | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| Find all providers in zip 55304 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928549 | Kristin Whitehouse | Counselor | 5 Woodfield Rd, Andover, NJ 07821-2002 | 2020-09-28 |
| 1932731635 | David C Miller | Counselor | 26 Chestnut St Ste 2a, Andover, MA 01810-3600 | 2020-02-10 |
| 1497238372 | Peter Bunnell | Counselor | 350 Lowell St, Andover, MA 01810-4400 | 2018-09-07 |
| 1366944597 | Conscious Healing Counseling Inc | Counselor | 2705 Bunker Lake Blvd Nw Ste 112, Andover, MN 55304-3785 | 2018-03-04 |
| 1124520630 | Connection Counseling Inc. | Counselor | 93 Main St Ste 131, Andover, MA 01810-3847 | 2018-03-01 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1295024123 | Elizabeth M. Green | Counselor | 140 Maple St, Box 404, Andover, NH 03216-3910 | 2011-03-31 |
| 1467758821 | Glenn Phillip Petruzzi | Counselor | 12 Essex Street, Andover, MA 01810 | 2011-02-02 |
| 1558677955 | Barbara Ann Nyhammer | Counselor | 791 139th Ln Nw, Andover, MN 55304-4002 | 2010-08-23 |
| Find all providers in ANDOVER | ||||
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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.