{
  "npi": "1841230166",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "CRNA",
    "enumeration_date": "2006-06-07",
    "first_name": "DAVID",
    "last_name": "ANDERSON",
    "last_updated": "2026-07-13",
    "middle_name": "M",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1207 NIGHTINGALE PL",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BOONE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "500367610",
      "state": "IA",
      "telephone_number": "515-432-4036"
    },
    {
      "address_1": "800 OHIO ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WEBSTER CITY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "515-832-9420",
      "postal_code": "505952824",
      "state": "IA",
      "telephone_number": "515-832-9400"
    }
  ],
  "taxonomies": [
    {
      "code": "163W00000X",
      "desc": "Registered Nurse",
      "license": "108154",
      "primary": true,
      "state": "IA",
      "taxonomy_group": ""
    },
    {
      "code": "367500000X",
      "desc": "Nurse Anesthetist, Certified Registered",
      "license": "D108154",
      "primary": false,
      "state": "IA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "DAVID MICHAEL ANDERSON",
          "npi": "1841230166",
          "specialty": "NURSE/NURSES AIDE",
          "city": "BOONE",
          "state": "IA",
          "excl_type": "1128a3",
          "excl_date": "2017-09-20",
          "statute_desc": "Sec. 1128(a)(3) — Felony Health Care Fraud Conviction"
        }
      ],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Registered Nurse",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}