TARA L. PETERSON (NPI# 1235108457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235108457 |
Entity Type | Individual |
Full Name | TARA L. PETERSON |
Credential | APRN |
Practice Address |
8901 Indian Hills Dr Suite 200 Omaha NE 68114-4057 |
Practice Telephone | 4023977057 |
Practice Fax Number | 4023976656 |
Mailing Telephone | 4023977057 |
Mailing Fax Number | 4023976656 |
Enumeration Date | 2006-03-17 |
Last Update Date | 2009-12-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
110711 | NE | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025290600 | 05 | |
NE | 47077295213 | 05 |
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 |
1710353560 | Tara Anne Peterson | Nurse Practitioner | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005-2441 | 2015-08-17 |
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 |
Street Address |
8901 INDIAN HILLS DR SUITE 200 |
City | OMAHA |
State | NE |
Zip Code | 68114-4057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053385328 | Midwest Endoscopy Services LLC | Clinic/Center | 8901 Indian Hills Dr, Suite 100, Omaha, NE 68114-4057 | 2006-02-14 |
1063864783 | Megan Johnson | Nurse Practitioner | 8901 Indian Hills Dr, # 200, Omaha, NE 68114-4029 | 2016-07-06 |
1922482629 | Lea Murrell | Nurse Practitioner | 8901 Indian Hills Dr, Omaha, NE 68114-4029 | 2015-07-13 |
1093112369 | Hannah Pick | Physician Assistant | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4029 | 2014-12-02 |
1831507581 | Summit Dental Health - Indian Hills LLC | Dentist | 8901 Indian Hills Dr, Ste 300b, Omaha, NE 68114-4029 | 2014-07-25 |
1992143119 | Kelsi E. Tonniges | Nurse Anesthetist, Certified Registered | 8901 Indian Hills Dr, Omaha, NE 68114-4029 | 2013-06-10 |
1134486228 | Marc D Michel | Nurse Anesthetist, Certified Registered | 8901 Indian Hills Dr, Ste 200, Omaha, NE 68114-4029 | 2012-04-13 |
1346540192 | Jennifer M Becher | Nurse Practitioner | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4029 | 2010-10-27 |
1841505377 | Rachel L Rager | Nurse Practitioner | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4029 | 2010-08-09 |
1093042392 | Karie M. Wesely | Nurse Practitioner | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4057 | 2009-11-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
Find all providers in zip 68114 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477049013 | Eileen Marie Dineen | Nurse Practitioner | 14161 Franklin St, Omaha, NE 68154-3865 | 2018-07-06 |
1760857916 | Jerry A Patry | Nurse Practitioner | 7710 Mercy Rd Ste 509, Omaha, NE 68124-2346 | 2015-12-13 |
1386989218 | Rachel Nicole Fortney | Nurse Practitioner | 985330 Nebraska Medical Ctr, Room 40114, Omaha, NE 68198-5330 | 2012-12-04 |
1649570250 | Sara Lynne Wolfson | Nurse Practitioner | 2104 S 110th St, Omaha, NE 68144-3115 | 2010-10-28 |
1114248069 | Mary Kay Gamble | Nurse Practitioner | 5755 Sorensen Pkwy, Omaha, NE 68152-2370 | 2010-06-15 |
1275689101 | Ginger Rogers | Nurse Practitioner | 13927 Monroe St, Omaha, NE 68137-4044 | 2007-01-25 |
1558979682 | Maya A Manjarrez | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-07-15 |
1831670165 | Shelly Retikis | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2018-08-24 |
1891036091 | Michelle Rae Bottrell | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2013-03-13 |
1134403173 | Jean Meister | Nurse Practitioner | 11207 W Dodge Rd Ste 250, Omaha, NE 68154-2650 | 2011-10-10 |
Find all providers in OMAHA |
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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.