TARA L. PETERSON


Address: 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4057
Phone: 4023977057

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
110711 NE Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 10025290600 05
NE 47077295213 05

Other Providers TARA PETERSON

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

Office Location

Street Address 8901 INDIAN HILLS DR
SUITE 200
City OMAHA
State NE
Zip Code 68114-4057

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City OMAHA
Zip Code 68114

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Dataset Information

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.

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