ERIC PETERSEN (NPI# 1750988572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750988572 |
| Entity Type | Individual |
| Full Name | ERIC PETERSEN |
| Credential | FNP-C |
| Practice Address |
1200 Gallatin Pike S Madison TN 37115-4613 |
| Practice Telephone | 6158682150 |
| Mailing Telephone | 6158682150 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28050 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2206 Oakleaf Ct, Franklin, TN 370647409 | 9413437798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679814 | Eric N Petersen | Psychologist | 1233 Shelburne Rd Ste C4, South Burlington, VT 05403-7780 | 2019-10-04 |
| 1255727863 | Eric Petersen | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2015-04-09 |
| 1992020945 | Eric Petersen | Licensed Practical Nurse | 711 H St Ste 100, Anchorage, AK 99501-3464 | 2010-04-01 |
| 1184890543 | Eric J Petersen | Family Medicine | 205 E Toronto Ave, Mcallen, TX 78503-1209 | 2008-05-06 |
| 1538149042 | Eric Scott Petersen | Family Medicine | 918 W Platt St # 1, Maquoketa, IA 52060-2038 | 2006-01-19 |
| Street Address |
1200 GALLATIN PIKE S |
| City | MADISON |
| State | TN |
| Zip Code | 37115-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902909690 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1200 Gallatin Pike S, Madison, TN 37115-4613 | 2006-09-07 |
| 1578094215 | Laura Mckinney | Nurse Practitioner | 1200 Gallatin Pike S, Madison, TN 37115-4613 | 2017-03-24 |
| 1881009769 | Julie Pickering | Nurse Practitioner | 1200 Gallatin Pike S, Madison, TN 37115-4613 | 2014-06-30 |
| 1801160783 | Ryann Leigh Mcguire | Registered Nurse | 1200 Gallatin Pike S, Madison, TN 37115-4613 | 2012-02-24 |
| 1720377351 | Kelvisha Lashae Davis | Nurse Practitioner | 1200 Gallatin Pike S, Madison, TN 37115-4613 | 2011-04-05 |
| 1033356506 | Erica L. Truka | Registered Nurse | 1200 Gallatin Pike S, Madison, TN 37115-4613 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
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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.