KATIE PEPER (NPI# 1003463365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003463365 |
| Entity Type | Individual |
| Full Name | KATIE PEPER |
| Credential | NP |
| Practice Address |
E5139 Hillcrest Dr Loganville WI 53943-9719 |
| Practice Telephone | 6084157633 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9383-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| I DO NOT HAVE A NUMBER | NA | 01 |
| Street Address |
E5139 HILLCREST DR |
| City | LOGANVILLE |
| State | WI |
| Zip Code | 53943-9719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164809356 | Jessica Klemm | Licensed Practical Nurse | S7786 State Road 23, Loganville, WI 53943-9646 | 2015-04-27 |
| 1902312507 | Patricia Passehl | Nurse Practitioner | E7075 Seeley Creek Rd, Loganville, WI 53943-9670 | 2017-12-18 |
| 1356952097 | Seeley Creek Healthcare | Clinic/Center | E7075 Seeley Creek Rd, Loganville, WI 53943-9670 | 2020-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376707 | Corina Bridges | Registered Nurse | 504 Rockingham Ln, Loganville, GA 30052-8743 | 2020-11-04 |
| 1871191023 | Nichole Harden-gresham | Counselor | 3837 Bay Orchard Ln, Loganville, GA 30052-6611 | 2020-10-10 |
| 1396342309 | Melissa Lynn Scaparo | Nurse Practitioner | 3685 Anglin Rd, Loganville, GA 30052-4688 | 2020-10-02 |
| 1285241968 | Divine Home Care Plus LLC | Home Health | 536 Harmonyview Ct, Loganville, GA 30052-6233 | 2020-09-28 |
| 1942817036 | Jl Community Services, Inc | Home Health | 1585 Julianna Dr, Loganville, GA 30052-7527 | 2020-09-23 |
| 1467068627 | Kasey Lynn Lapointe | Dietitian, Registered | 367 Athens Hwy Ste 100a, Loganville, GA 30052-2204 | 2020-09-22 |
| 1295341642 | Innovative Quality Healthcare Services LLC | Home Health | 3545 Beaver Swamp Rd, Loganville, GA 30052-2859 | 2020-09-21 |
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1134733199 | Jesty Boby | Nurse Practitioner | 751 Autumn Meadow Dr, Loganville, GA 30052-7934 | 2020-09-07 |
| 1154935450 | Edlyn LLC | Counselor | 3267 Watson Meadow Ln, Loganville, GA 30052-8297 | 2020-09-03 |
| Find all providers in LOGANVILLE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342309 | Melissa Lynn Scaparo | Nurse Practitioner | 3685 Anglin Rd, Loganville, GA 30052-4688 | 2020-10-02 |
| 1134733199 | Jesty Boby | Nurse Practitioner | 751 Autumn Meadow Dr, Loganville, GA 30052-7934 | 2020-09-07 |
| 1720617756 | Corwin Oswald Demattos | Nurse Practitioner | 4068 Elm Trace Dr, Loganville, GA 30052-5942 | 2020-04-02 |
| 1699306696 | Sonya Pedro | Nurse Practitioner | 3668 Park Hill Cir, Loganville, GA 30052-8408 | 2020-01-29 |
| 1487122065 | Tracey M Fortner | Nurse Practitioner | 1103 Mason Lee Ave, Loganville, GA 30052-8635 | 2018-11-13 |
| 1376021840 | Tessa Miche' Gerena-diaz | Nurse Practitioner | 1500 Holly Manor Dr, Loganville, GA 30052-5148 | 2018-08-06 |
| 1992293997 | Myrlande Cayo Taylor | Nurse Practitioner | 3838 Elm Trace Dr, Loganville, GA 30052-8769 | 2018-04-25 |
| 1346738655 | Laura Martha Avila | Nurse Practitioner | 221 The Esplanade Way Se, Loganville, GA 30052 | 2018-04-23 |
| 1386144376 | Nashana Powe | Nurse Practitioner | 961 Yancey Ct, Loganville, GA 30052-9092 | 2018-02-15 |
| 1467963942 | Ina Vate | Nurse Practitioner | 3255 Tig Knight Rd., Loganville, GA 30052-3005 | 2017-10-24 |
| Find all providers in LOGANVILLE | ||||
| City | LOGANVILLE |
| Zip Code | 53943 |
Please comment or provide details below to improve the information on KATIE PEPER.
| 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.