MRS. DEBRA ANTOINETTE PETERSEN (NPI# 1417039652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417039652 |
Entity Type | Individual |
Full Name | MRS. DEBRA ANTOINETTE PETERSEN |
Credential | NURSE PRACTITIONER |
Practice Address |
7131 Indianapolis Blvd Hammond IN 46324 |
Mailing Address |
8918 Blaine Pl Crown Point IN 46307-8102 |
Practice Telephone | 2198450848 |
Mailing Telephone | 2193652368 |
Mailing Fax Number | 2193652408 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28063616A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265951925 | Debra Jean Petersen | Psychiatry & Neurology | 499 E Hampden Ave Ste 360, Englewood, CO 80113-3877 | 2017-09-13 |
1073634705 | Debra Susan Petersen | Social Worker | 500 7th Ave S, Dept. 7470, St Petersburg, FL 33701-4820 | 2007-04-02 |
Street Address |
7131 INDIANAPOLIS BLVD |
City | HAMMOND |
State | IN |
Zip Code | 46324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053970558 | Trinity Walls | Nurse Practitioner | 7131 Indianapolis Blvd, Hammond, IN 46324-2220 | 2019-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
1679049779 | Secure Dental Viii | Dentist | 7905 Indianapolis Blvd, Indianan, IN 46324 | 2018-10-17 |
1710317615 | Christopher Keown-belous | Marriage & Family Therapist | 7030 Indianapolis Blvd, Hammond, IN 46324 | 2013-11-14 |
1316296114 | Planned Parenthood of Indiana Hammond | Clinic/Center | 7131 Indianapolis Blvd., Hammond, IN 46324 | 2012-09-07 |
1427343862 | Amanda Rose Popovich | Behavioral Analyst | 7110 Magoun Avenue, Hammond, IN 46324 | 2011-06-14 |
1588804751 | Tanesha Marnise Williams | Technician | 5831 Erie St, Hammond, IN 46324 | 2009-03-02 |
1568455467 | Elisabeth Cleary Shearon | Pathology | Alvero Clinical Laboratories, 3434 Interstate Plaza Dr, Hammond, IN 46324 | 2005-08-25 |
1578958278 | Aditya Shah | Family Medicine | 6920 Indianapolis Blvd, Hammond, IN 46324 | 2015-03-31 |
1770928509 | Hammond Dental Group LLC | Dentist | 6414 Calumet Ave, Hammond, IN 46324 | 2013-05-07 |
1629338777 | Shawn Phillip Naranjo | Obstetrics & Gynecology | 6920 Indianapolis Blvd, Hammond, IN 46324 | 2012-05-23 |
Find all providers in zip 46324 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578189544 | Tiffany Burrowes | Nurse Practitioner | 41137 James Robert Dr, Hammond, LA 70403-7520 | 2020-06-24 |
1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
1265078166 | Michelle Antoinette Wilson | Nurse Practitioner | 45001 Tanglewood Dr, Hammond, LA 70401-4442 | 2019-11-26 |
1508327735 | Naina Chhokar | Nurse Practitioner | 6933 Kennedy Ave Ste C, Hammond, IN 46323-2210 | 2019-03-29 |
1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
1154797132 | Sharon Hughes | Nurse Practitioner | 2511 Hwy. 190 E, Hammond, LA 70401 | 2015-08-13 |
1407128598 | Family Health Care and Wellness Center | Nurse Practitioner | 2511 Highway 190 E, Hammond, LA 70401-8510 | 2012-02-03 |
1205124310 | Letarsha Roulette Campbell | Nurse Practitioner | 1402 S Magnolia St, Suite A, Hammond, LA 70403-5020 | 2011-07-11 |
1881992568 | Pauline E Burrall | Nurse Practitioner | 15770 Paul Vega Md Dr Ste 104, Hammond, LA 70403-1475 | 2011-03-04 |
Find all providers in HAMMOND |
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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.