DEBRA KAY PETERMAN (NPI# 1265905897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265905897 |
| Entity Type | Individual |
| Full Name | DEBRA KAY PETERMAN |
| Credential | RN |
| Practice Address |
1217 1st St Nw Albuquerque NM 87102-1529 |
| Mailing Address |
10700 Academy Rd Ne Apt 517 Albuquerque NM 87111-7330 |
| Practice Telephone | 5057665197 |
| Practice Fax Number | 5057666945 |
| Mailing Telephone | 5056881603 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
R35155 | NM | Nursing Service Providers |
| Street Address |
1217 1ST ST NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831185339 | Janet Douglas | Nurse Practitioner | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2005-09-21 |
| 1831799758 | Mariah Destini-rae Lujan | Case Manager/Care Coordinator | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2020-10-29 |
| 1720606189 | Kathryn Fleddermann | Case Manager/Care Coordinator | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2020-07-10 |
| 1912523390 | Alyssa Lodge | Case Manager/Care Coordinator | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2020-06-22 |
| 1669010146 | Larry Lovato | Pharmacist | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2019-12-16 |
| 1700421922 | Marcus Nells | Case Manager/Care Coordinator | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2019-11-12 |
| 1437794658 | Julie King | Case Manager/Care Coordinator | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2019-11-12 |
| 1255986006 | Gabriel Ruiz-montes | Case Manager/Care Coordinator | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2019-08-08 |
| 1891347829 | Jennifer Lee Glass | Nurse Practitioner | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2019-07-10 |
| 1801454004 | Barbara Lynn Jensen | Counselor | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679028500 | Norys Gil | Registered Nurse | 12655 Indian Pl Ne, Albuquerque, NM 87112-4713 | 2016-08-21 |
| 1710199286 | Gloria Jean Calhoun | Registered Nurse | 215 Princeton Dr, Se, Albuquerque, NM 87106-2875 | 2007-05-04 |
| 1649742511 | Allean Raneta Bonin | Registered Nurse | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2018-12-17 |
| 1053592329 | Doris Dawn Tyler | Registered Nurse | 1501 San Pedro Dr Se, Vamc, Bldg. 41, 3a-104, Albuquerque, NM 87108-5153 | 2007-11-15 |
| 1730192840 | Department of Veterans Affairs | Registered Nurse | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740751841 | Edward Gary Gum | Registered Nurse | #3 Cedar Road, San Felipe Pueblo, NM 87001 | 2018-12-16 |
| 1235246877 | Teresa K. Woodfill | Registered Nurse | 6349 St Hwy 550, Cuba, NM 87013 | 2006-08-23 |
| 1861954729 | Kathleen Cheryl Atene | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-04-01 |
| 1225500440 | Larry Harden Lybbert | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-12-28 |
| 1124564299 | Jolene Platero | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-01-13 |
| 1740730803 | Cathy Costlow Mcdonald | Registered Nurse | 1400a E 20th St, Exceptional Programs Office, Farmington, NM 87401-9024 | 2016-10-12 |
| 1073069845 | Tamara Kay James | Registered Nurse | 315 E Clinton St, Hobbs, NM 88240-8238 | 2016-08-31 |
| 1891160883 | Tori Davidson | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-12-02 |
| 1114392206 | Jacqueline Elaine Alexander | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-12-01 |
| 1598184053 | Kathleen Williams | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2014-04-14 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.