MS. THERESA DIANE PETERSEN (NPI# 1841500907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841500907 |
| Entity Type | Individual |
| Full Name | MS. THERESA DIANE PETERSEN |
| Credential | RPH |
| Practice Address |
524 24th St West Des Moines IA 50265-4102 |
| Practice Telephone | 5152241472 |
| Mailing Telephone | 5152241472 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18607 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649601287 | Theresa A Petersen | Nurse Practitioner | 300 N 2nd St, Ste 100, Oneill, NE 68763-1519 | 2013-12-09 |
| Street Address |
524 24TH ST |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50265-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255840534 | Vincent Hanna | Counselor | 225 23rd Street, West Des Moines, IA 50265 | 2017-09-29 |
| 1023547940 | Stephanie Hay | Massage Therapist | 105 S. 11th Street, West Des Moines, IA 50265 | 2017-06-05 |
| 1538606975 | Vermeer Quist Consulting, LLC | Community/Behavioral Health | 1115 Grand Ave, St. Mark Lutheran Church, West Des Moines, IA 50265 | 2017-01-24 |
| 1316389653 | Koch Facial Plastic Surgery PC | Otolaryngology | 4855 Mills Civic Parkway #100, West Des Moines, IA 50265 | 2013-07-29 |
| 1821237942 | Jeffrey Lenz Md PC | Family Medicine | 1235 8th Street, West Des Moines, IA 50265 | 2009-02-12 |
| 1962564856 | Cindy Schloss Calhoun | Social Worker | 1211 Vine St, Suite 2150, Des Moines, IA 50265 | 2006-12-15 |
| 1871671388 | Barbara Lynn Nebel | Speech-Language Pathologist | 950 Office Park Road, Suite 121, West Des Moines, IA 50265 | 2006-11-01 |
| 1639268576 | Brent Lane Cooper | Physical Therapist | Central Rehabilitation, Ltd, 950 Office Park Road, Suite 100, West Des Moines, IA 50265 | 2006-10-11 |
| 1104875319 | Jason A Nesheim | Optometrist | 1905 E P True Parkway, Ste 103, West Des Moines, IA 50265 | 2006-05-08 |
| 1063414464 | Steven R. Clark | Physical Therapist | 330 1st Street, Suite 100, Steven Clark Mfr Physical Therapy, West Des Moines, IA 50265 | 2005-08-15 |
| Find all providers in zip 50265 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296562 | Kristen Ann Mckibban | Pharmacist | 1001 Office Park Rd Ste 216, West Des Moines, IA 50265-2509 | 2019-10-10 |
| 1548801913 | Scott Caslow | Pharmacist | 4001 Ep True Pkwy Apt 62, West Des Moines, IA 50265-7947 | 2019-10-07 |
| 1265947675 | Gregory James Johansen | Pharmacist | 2929 Westown Pkwy Ste 100, West Des Moines, IA 50266-1319 | 2017-12-07 |
| 1821501321 | Kimberly Ae Ohnesorge | Pharmacist | 1776 W Lakes Pkwy Ste 100, West Des Moines, IA 50266-8378 | 2017-11-07 |
| 1245694884 | Sarah Boehm | Pharmacist | 375 S Jordan Creek Pkwy, West Des Moines, IA 50266-8139 | 2016-04-10 |
| 1154780005 | Michelle Miller | Pharmacist | 8345 Coachlight Dr, West Des Moines, IA 50266-8522 | 2016-02-21 |
| 1417375544 | Wendi French | Pharmacist | 4830 Hawthorne Dr, West Des Moines, IA 50265-2019 | 2014-04-05 |
| 1841566833 | Charles Dominic Graziano | Pharmacist | 2706 Hickory Ridge Dr, West Des Moines, IA 50265-5613 | 2012-03-24 |
| 1003183161 | Michael J Lyons | Pharmacist | 6580 Dakota Dr, West Des Moines, IA 50266-2431 | 2011-11-17 |
| 1023391786 | Lee Thomas Mews | Pharmacist | 225 Prairie View Dr Apt 8206, West Des Moines, IA 50266 | 2011-09-20 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50265 |
Please comment or provide details below to improve the information on MS. THERESA DIANE PETERSEN.
| 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.