MRS. DIANNE PETERSON (NPI# 1780907436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780907436 |
| Entity Type | Individual |
| Full Name | MRS. DIANNE PETERSON |
| Credential | OM |
| Practice Address |
39 W Broad St Ste D Cookeville TN 38501-2573 |
| Mailing Address |
39 West Broad Street Suite D Cookeville TN 38502 |
| Practice Telephone | 9315108667 |
| Practice Fax Number | 9318584490 |
| Mailing Telephone | 9315108667 |
| Mailing Fax Number | 9318584490 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326266941 | Dianne L. Peterson | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2007-04-20 |
| Street Address |
39 W BROAD ST STE D |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184093114 | The Skillbuilding Co-op, LLC | Specialist/Technologist | 4115 Elder Pl, Nashville, TN 37215-1732 | 2015-09-21 |
| 1902043870 | Elizabeth Grieco | Specialist/Technologist | 721 Andover Blvd, Farragut, TN 37934-1531 | 2009-01-14 |
| 1598362790 | Cheryl G Beams | Specialist/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-01 |
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on MRS. DIANNE 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.