MRS. TAMMY FAYE PETERSON (NPI# 1669498390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669498390 |
| Entity Type | Individual |
| Full Name | MRS. TAMMY FAYE PETERSON |
| Practice Address |
3400 S Crater Rd Ste.b Petersburg VA 23805-9211 |
| Practice Telephone | 8047336960 |
| Practice Fax Number | 8047333880 |
| Mailing Telephone | 8047336960 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982743506 | Tammy Peterson | Registered Nurse | 340 W 42nd St, New York, NY 10036-6972 | 2007-02-06 |
| 1093078859 | Tammy Peterson | Physical Therapy Assistant | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2012-06-18 |
| 1366404386 | Tammy Hartnett Peterson | Optometrist | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-04-05 |
| Street Address |
3400 S CRATER RD STE.B |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710944434 | Sudhakar Chandrakumar Relton | Internal Medicine | 3400 S Crater Rd, Petersburg, VA 23805-9252 | 2006-04-27 |
| 1508201385 | Southside Kidney Specialists | Internal Medicine | 3400 S Crater Rd, Ste #b, Petersburg, VA 23805-9252 | 2013-05-07 |
| 1235376880 | Amar Kumar Damodar | Internal Medicine | 3400 S Crater Rd, Suite B, Petersburg, VA 23805-9252 | 2009-01-18 |
| 1790798379 | Liberty Dialysis - Petersburg LLC | Clinic/Center | 3400 S Crater Rd, Petersburg, VA 23805-9211 | 2006-08-14 |
| 1033130026 | Southside Kidney Specialists | Internal Medicine | 3400 S Crater Rd, Suite B, Petersburg, VA 23805-9211 | 2006-07-22 |
| 1194773994 | Vijaya Lakshmi Chirumamilla | Internal Medicine | 3400 S Crater Rd, Suite B, Petersburg, VA 23805-9211 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| 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 |
|---|---|---|---|---|
| 1013330174 | Deborah Vanderpool | Dietitian, Registered | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2014-01-27 |
| 1376641092 | Margaret D Fleming | Dietitian, Registered | 103 Fram Street, Petersburg, AK 99833-0589 | 2006-09-20 |
| 1679574305 | Laura Camille Yokum | Dietitian, Registered | 24 N Main St, Petersburg, WV 26847-1518 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891876 | Margaret Rawls | Dietitian, Registered | 4303 Smithdeal Ave, Richmond, VA 23225-3320 | 2020-11-05 |
| 1558968875 | Veronica Winkler | Dietitian, Registered | 208 Birch St Ne, Leesburg, VA 20176-4524 | 2020-10-08 |
| 1235736364 | Shirin Pourafshar | Dietitian, Registered | 966 Belvedere Blvd, Charlottesville, VA 22901-3202 | 2020-10-01 |
| 1326645557 | Erin Elizabeth Redgrave | Dietitian, Registered | 1055 Old Fox Trail Ln, Crozet, VA 22932-3141 | 2020-10-01 |
| 1528675204 | Lyndel Rose Schuster | Dietitian, Registered | 3104 Park Ave, Richmond, VA 23221-1610 | 2020-09-28 |
| 1174139406 | Nicole Evangelista | Dietitian, Registered | 815 18th St S Apt 601, Arlington, VA 22202-2633 | 2020-09-22 |
| 1366058612 | Karen Perez Via | Dietitian, Registered | 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1764 | 2020-09-22 |
| 1447866926 | Rita Ann Eusanio | Dietitian, Registered | 5903 Mount Eagle Dr Apt 1409, Alexandria, VA 22303-2532 | 2020-09-19 |
| 1154935179 | Eryn David | Dietitian, Registered | 700 Jenny Ann Ct, Herndon, VA 20170-3152 | 2020-09-08 |
| 1043823420 | Grace Lange Kopf | Dietitian, Registered | 6953 Fieldwood Rd, Chester, VA 23831-3832 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.