DEBORAH M. PETERSON (NPI# 1588891121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588891121 |
| Entity Type | Individual |
| Full Name | DEBORAH M. PETERSON |
| Credential | RD, CDE |
| Practice Address |
365 Montauk Ave New London CT 06320-4700 |
| Practice Telephone | 8604444737 |
| Practice Fax Number | 8604444775 |
| Mailing Telephone | 8604444737 |
| Mailing Fax Number | 8604444775 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2010-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 000645 | CT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992068399 | Deborah Peterson | Specialist | 1284 E 49th St, Brooklyn, NY 11234-2125 | 2012-06-20 |
| 1427108505 | Deborah Peterson | Counselor | 1002 College Ave, Clemson, SC 29631-2804 | 2007-01-11 |
| 1053931659 | Deborah Peterson | Pharmacist | 2135 Silvernail Rd, Pewaukee, WI 53072-5525 | 2020-04-23 |
| 1609417849 | Deborah Ann Peterson | Pharmacist | 1080 W Highway 40, Vernal, UT 84078-2333 | 2019-09-30 |
| 1770996944 | Deborah Peterson | Counselor | 16415 Addison Rd, Suite 640, Addison, TX 75001-3218 | 2014-06-05 |
| 1437492337 | Deborah Peterson | Counselor | 265 River St N Ste 109, Delano, MN 55328-8266 | 2013-03-29 |
| 1609159730 | Deborah Ann Peterson | Physician Assistant | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2011-09-26 |
| 1801039896 | Deborah Yvonne Peterson | Licensed Vocational Nurse | 52 Dore St, San Francisco, CA 94103-3828 | 2009-04-07 |
| 1134298730 | Deborah Anne Peterson | Case Manager/Care Coordinator | 1821 University Ave W, Suite N385, Saint Paul, MN 55104-2801 | 2006-11-07 |
| 1841204005 | Deborah K Peterson | Nurse Practitioner | 9669 E 146th St, Suite 310, Noblesville, IN 46060-5005 | 2006-07-27 |
| Street Address |
365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460186 | Steven Lu | Internal Medicine | 365 Montauk Ave, Rm 4.512, New London, CT 06320-4700 | 2005-07-08 |
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1952954117 | Veronica O Lee | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-17 |
| 1265084487 | Lydia Derienzo | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-09 |
| 1184283699 | Theresa Joan Crino | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-08 |
| 1437718137 | Linda Anderson | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-07 |
| 1265091813 | Stephen Richard Cofone | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-07 |
| 1841859683 | Thomas David Page | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-06 |
| 1942869706 | William Edward Sergiy IIi | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| 1578122263 | Mary Stevens | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750948394 | Samantha A Metko | Dietitian, Registered | N3075 Bean City Rd, New London, WI 54961-8912 | 2019-05-20 |
| 1851842678 | Elke Melody | Dietitian, Registered | 273 County Rd, New London, NH 03257-5736 | 2016-10-17 |
| 1801342936 | Birgit Humpert | Dietitian, Registered | 273 County Rd, New London, NH 03257-5736 | 2016-08-29 |
| 1538514443 | The Nutrition Counseling Center | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2016-04-28 |
| 1649565334 | Krista Hollinshead Fogarty | Dietitian, Registered | 365 Montauk Ave, Lawrence and Memorial Hospital Food and Nutrition Dept, New London, CT 06320-4700 | 2011-06-10 |
| 1922332832 | Hope Elizabeth Damon R.d.,c.d.e., L.d. | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2009-09-24 |
| 1669609616 | Nathan E. Nava | Dietitian, Registered | 365 Montauk Ave, New London, CT 06320-4700 | 2009-06-17 |
| 1407081128 | Barbara T. Corvello | Dietitian, Registered | 365 Montauk Ave, New London, CT 06320-4700 | 2009-05-26 |
| 1629265137 | Hoo- Ching (judy) Wong | Dietitian, Registered | 365 Montauk Ave, New London, CT 06320-4700 | 2007-09-28 |
| 1134246358 | Hope Elizabeth Damon | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2007-03-23 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.