MRS. TERI S. PEAK (NPI# 1700836699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700836699 |
| Entity Type | Individual |
| Full Name | MRS. TERI S. PEAK |
| Credential | N.P. |
| Practice Address |
42 N Saint Joseph Ave 101 Niles MI 49120-2203 |
| Practice Telephone | 2696846697 |
| Practice Fax Number | 2696845286 |
| Mailing Telephone | 2696846697 |
| Mailing Fax Number | 2696845286 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704246990 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71002118A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1700836699 | 05 |
| Street Address |
42 N SAINT JOSEPH AVE 101 |
| City | NILES |
| State | MI |
| Zip Code | 49120-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675140 | Jennifer Lynn Zizzo | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2005-11-03 |
| 1609235837 | Elda Nelson | Nurse Practitioner | 42 N Saint Joseph Ave, Niles, MI 49120-2203 | 2016-02-16 |
| 1578979415 | Lakeland Medical Practices | Internal Medicine | 42 N Saint Joseph Ave, Suite 302, Niles, MI 49120-2203 | 2014-07-10 |
| 1184988040 | Van's Medical Equipment of Lakeland, LLC | Durable Medical Equipment & Medical Supplies | 42 N Saint Joseph Ave, Suite 102, Niles, MI 49120-2208 | 2012-06-26 |
| 1932493863 | Lakeland Medical Practices | Urology | 42 N Saint Joseph Ave, Suite 200, Niles, MI 49120-2208 | 2011-06-08 |
| 1083925119 | Kenneth Walter Kaufmann II | Obstetrics & Gynecology | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2010-06-23 |
| 1376863407 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120-2208 | 2010-06-11 |
| 1104145002 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2208 | 2010-05-18 |
| 1033438932 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 300, Niles, MI 49120-2203 | 2010-05-18 |
| 1033442421 | Laurie Ann Gee | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2009-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023668951 | Rebecca L Wolff | Nurse Practitioner | 42 N Saint Joseph Ave Ste 101, Niles, MI 49120-2203 | 2019-09-12 |
| 1780675140 | Jennifer Lynn Zizzo | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2005-11-03 |
| 1922621556 | Angela Coleman | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2020-05-18 |
| 1205372612 | Sara H. Zike | Nurse Practitioner | 7900 N Milwaukee Ave, Ste 17, Niles, IL 60714-3159 | 2017-01-09 |
| 1275988867 | Joan Madsen | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2016-05-02 |
| 1174984413 | Amanda Leigh Mills | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2016-03-15 |
| 1083960652 | Lauren-shylene Luna Toscano | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2012-08-01 |
| 1851556542 | Catherine Murr | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 200, Niles, MI 49120-2203 | 2008-07-23 |
| 1972590719 | Mary L Pryka | Nurse Practitioner | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
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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.