Individual Healthcare Provider
Deborah Davidson, MSN, APN
Provider's NPPES record last updated: July 21, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063813178
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Tipton, Indiana
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:21 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Indiana)
- 71007149A
- Nurse Practitioner (Illinois)
- 309.007493
Practice Locations
Practice Location
405 Fairgrounds Rd
Tipton, Indiana 46072-9596
Phone: (765) 408-0536
Additional Practice Location
1948 W Boulevard
Kokomo, Indiana 46902-6078
Phone: (765) 452-5437
Fax: (844) 684-6185
Additional Practice Location
401 E 8th St
Rochester, Indiana 46975-1443
Phone: (574) 223-8586
Fax: (574) 223-8786
Additional Practice Location
401 E 8th St
Rochester, Indiana 46975-1443
Phone: (574) 223-8565
Fax: (574) 223-8786
Additional Practice Location
2701 17th St
Rock Island, Illinois 61201-5351
Phone: (309) 779-5000
Additional Practice Location
1000 N Broadway Ste A
Peru, Indiana 46970-1070
Phone: (765) 472-1931
Fax: (765) 472-1945
Additional Practice Location
1015 Michigan Ave
Logansport, Indiana 46947-1526
Phone: (574) 722-5151
Fax: (574) 739-1414
Record Information
- Enumeration Date
- September 8, 2014
- Provider's NPPES Record Last Updated
- July 21, 2022
- NPISignal NPPES Dataset
- August 2026
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