DR. SHARON L PETERSON (NPI# 1346584943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346584943 |
| Entity Type | Individual |
| Full Name | DR. SHARON L PETERSON |
| Credential | PHD, RD, LDN |
| Practice Address |
8877 Se 165th Mulberry Ln The Villages FL 32162-5887 |
| Mailing Address |
1020 Lake Sumter Lndg The Villages FL 32162-2699 |
| Practice Telephone | 3526741750 |
| Practice Fax Number | 3526748950 |
| Mailing Telephone | 3526748905 |
| Mailing Fax Number | 3526748919 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND9740 | FL | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 2126 | KS | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Rainbow Blvd, Kansas City, KS 661601188 | 6189853885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982130084 | Sharon Peterson | Preferred Provider Organization | 6118 Mayflower Ave, Cincinnati, OH 45237-4820 | 2017-05-10 |
| 1134576457 | Sharon Dawn Peterson | Social Worker | 400 Beechwood Ave, Ewing, NJ 08618-2524 | 2016-05-17 |
| 1952677312 | Sharon Ann Peterson | Registered Nurse | 2980 Rice St, Little Canada, MN 55113-2230 | 2012-03-29 |
| 1194951939 | Sharon Elizabeth Peterson | Speech-Language Pathologist | 35 Ross Ln, Mount Sinai, NY 11766-2521 | 2009-06-08 |
| 1336304138 | Sharon Rose Peterson | Family Medicine | 11200 Sw Murray Scholls Pl Ste 100, Beaverton, OR 97007 | 2008-07-22 |
| 1841324324 | Sharon Peterson | Social Worker | 8744 Main St Ste 403, Woodstock, GA 30188 | 2007-03-15 |
| 1083230437 | Sharon E Peterson | Counselor | 8910 Clairemont Mesa Blvd, San Diego, CA 92123-1104 | 2020-06-22 |
| 1740683572 | Sharon Peterson | Nurse Practitioner | 2045 N Franklin St, Denver, CO 80205-5437 | 2014-10-07 |
| 1386777043 | Sharon Ann Peterson | Counselor | 3331 Power Inn Rd, 190, Sacramento, CA 95826-3889 | 2007-03-13 |
| 1780761585 | Sharon S Peterson | Oral & Maxillofacial Surgery | 12121 Richmond Ave, Ste 316, Houston, TX 77082 | 2006-11-01 |
| Street Address |
8877 SE 165TH MULBERRY LN |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-5887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387542 | Stephen Sandler | Social Worker | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2005-09-27 |
| 1609436203 | Shawna R Edge | Registered Nurse | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2019-06-17 |
| 1679036776 | Rebecca Lynn Craven | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2019-04-08 |
| 1457700908 | Mackenzie Kigin | Family Medicine | 8877 Se 165th Mulberry Ln, The Villages, FL 32162 | 2016-06-06 |
| 1649631896 | Priscilla Myers | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2016-03-16 |
| 1790154169 | Kimberly Joy Basham | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2015-09-16 |
| 1184982993 | Kerry-ann D Miller | Internal Medicine | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2012-04-30 |
| 1902134380 | Robert Green | Family Medicine | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2009-11-24 |
| 1467603837 | Cynthia Lynne Stewart | Psychologist | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2008-10-03 |
| 1568663540 | Joan Lanier | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780901603 | Inchek Diabetes Centers, Inc. | Dietitian, Registered | 12 Lagrande Blvd, The Villages, FL 32159-2384 | 2010-05-02 |
| 1720277155 | John Vincent Logomarsino | Dietitian, Registered | 842 Maybank Loop, The Villages, FL 32162-8782 | 2007-10-22 |
| 1558996017 | Prudence J Artello | Dietitian, Registered | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2020-03-05 |
| 1497235170 | Sara J Murray | Dietitian, Registered | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2018-08-21 |
| 1437514536 | Kristen M Curtis | Dietitian, Registered | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2015-12-16 |
| 1225415615 | Karen M Bolderman | Dietitian, Registered | 1400 N Us Highway 441, Suuite 810, The Villages, FL 32159-8975 | 2015-05-05 |
| 1689996894 | Caren Leigh Brown | Dietitian, Registered | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265268 | Rachel Moore Gibson | Dietitian, Registered | 5145 S Dale Mabry Hwy Unit 20412, Tampa, FL 33611-3677 | 2020-11-08 |
| 1275134520 | Dunia Santana-enamorado | Dietitian, Registered | 6141 Lanshire Dr, Tampa, FL 33634-3042 | 2020-11-03 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1114527256 | Jacquelyn Gabriela Baldeon Garo | Dietitian, Registered | 17701 Sw 112th Ave, Miami, FL 33157-5007 | 2020-10-28 |
| 1013516632 | Cecelia Lee Andreo | Dietitian, Registered | 3545 Victory Dr, Pace, FL 32571-8302 | 2020-10-24 |
| 1114526209 | Scientific Nutrition International LLC | Dietitian, Registered | 6295 Sunset Dr, South Miami, FL 33143-4804 | 2020-10-20 |
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1194323345 | Danielle Sara Samelson | Dietitian, Registered | 4225 Cloverleaf Pl, Casselberry, FL 32707-4703 | 2020-10-10 |
| 1518564830 | Sneha Lalla | Dietitian, Registered | 14171 Metropolis Ave Ste 202, Fort Myers, FL 33912-4335 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
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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.