TARA ANNE PETERSON (NPI# 1710353560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710353560 |
| Entity Type | Individual |
| Full Name | TARA ANNE PETERSON |
| Credential | PNP |
| Practice Address |
13950 W Capitol Dr Ste 200 Brookfield WI 53005-2441 |
| Mailing Address |
1300 N Prospect Ave Apt 211 Milwaukee WI 53202-3045 |
| Practice Telephone | 2627813065 |
| Mailing Telephone | 7203200790 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
6541-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474634 | Tara Mae Peterson | Student in an Organized Health Care Education/Training Program | 9182 E Mogollon Trl, Gold Canyon, AZ 85118-7090 | 2019-08-28 |
| 1144619107 | Tara Danielle Peterson | Specialist/Technologist | 896 Ashe Loop Rd, Sylva, NC 28779-8810 | 2015-01-14 |
| 1700376969 | Tara Skelly Peterson | Dentist | 9042 Cahill Ave, Inver Grove Heights, MN 55076-3543 | 2018-05-14 |
| 1669971602 | Tara Peterson | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2018-02-05 |
| 1053770867 | Tara Peterson | Marriage & Family Therapist | 1441 Constitution Blvd, Bldg 400 Ste 200, Salinas, CA 93906-3100 | 2016-02-22 |
| 1174927867 | Tara Peterson | Behavioral Analyst | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2014-10-09 |
| 1659652956 | Tara Jo Peterson | Registered Nurse | 760 Hospital Circle, Browning, MT 59417-0730 | 2011-08-31 |
| 1336438811 | Tara Peterson | Marriage & Family Therapist | 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 | 2011-04-05 |
| 1588965933 | Tara Magen Peterson | Developmental Therapist | 2708 Ne 14th Street, Suite 5, Pompano Beach, FL 33062 | 2010-11-16 |
| 1235108457 | Tara L. Peterson | Nurse Practitioner | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4057 | 2006-03-17 |
| Street Address |
13950 W CAPITOL DR STE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941097 | Brian R Hirsch | Pediatrics | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005-2441 | 2005-09-09 |
| 1447645452 | Kathryn Gradecki | Pediatrics | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005 | 2015-04-06 |
| 1811949605 | Christina M Schulta | Nurse Practitioner | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005 | 2006-05-17 |
| 1003867409 | Jennifer M Chevalier | Pediatrics | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005-2441 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598993925 | Rebecca R. Rusch | Nurse Practitioner | 13950 W. W. Capitol Drive, Suite 200, Brookfield, WI 53005-2441 | 2009-06-24 |
| 1639120454 | Wendy L Grohman | Nurse Practitioner | 12635 W Bluemound Rd, Brookfield, WI 53005-8004 | 2006-05-15 |
| 1588076152 | Laura Mcnally Hughes | Nurse Practitioner | 13950 W Capitol Dr, Suite 200, Brookfield, WI 53005-2441 | 2014-05-29 |
| 1750513537 | Sara K Quates | Nurse Practitioner | 13800 W North Ave, Child Development Center, Brookfield, WI 53005-4977 | 2009-08-13 |
| 1811949605 | Christina M Schulta | Nurse Practitioner | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159964 | Caitlin West | Nurse Practitioner | 10823 N Ravine Ct, Mequon, WI 53092-5876 | 2020-06-18 |
| 1639704166 | Angelica Shanahan | Nurse Practitioner | 8733 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-04 |
| 1609408210 | Jenna Rae Eisold | Nurse Practitioner | 65 W Wood Ridge Dr, River Falls, WI 54022-8291 | 2020-02-11 |
| 1639685274 | Laura Palmer | Nurse Practitioner | 4855 S Moorland Rd # Rod, New Berlin, WI 53151-7494 | 2017-12-19 |
| 1306356589 | Alexandra Wilson | Nurse Practitioner | 3033 W Layton Ave # 102, Greenfield, WI 53221-2628 | 2017-10-02 |
| 1689192775 | Brigid Mary Costello | Nurse Practitioner | 9000 W Wisconsin Ave Ste 620, Milwaukee, WI 53226-4874 | 2017-09-08 |
| 1851643696 | Jamie Harder | Nurse Practitioner | 2574 Sun Valley Dr Ste 207, Delafield, WI 53018-2334 | 2012-10-03 |
| 1760731988 | Nancy J Thompson-quandt | Nurse Practitioner | 7831 Warren Ave, Wauwatosa, WI 53213-2115 | 2012-09-04 |
| 1932471018 | Marie Helen Dietrich | Nurse Practitioner | 201 S Gammon Rd, Madison, WI 53717-1404 | 2012-02-03 |
| 1134389513 | Sharon Kay Schroeder | Nurse Practitioner | 9000 W Wisconsin Ave # Ms 782-a, Milwaukee, WI 53226-4874 | 2008-06-10 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on TARA ANNE PETERSON.
| 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.