JENNIFER CARLITA PETERS (NPI# 1578640561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578640561 |
| Entity Type | Individual |
| Full Name | JENNIFER CARLITA PETERS |
| Credential | MD |
| Practice Address |
111 W Stone Dr Suite 110 Kingsport TN 37660-6027 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 4237232030 |
| Practice Fax Number | 4232474110 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 48169 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101240169 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007604092 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260412 | Jennifer Peters | Speech-Language Pathologist | 883 Hill Roost Rd, Tallahassee, FL 32312-6716 | 2020-06-24 |
| 1194351338 | Jennifer Peters | Registered Nurse | 3117 Nw 192nd Ter, Edmond, OK 73012-9090 | 2020-03-19 |
| 1922512110 | Jennifer Jocelyn Peters | Dietitian, Registered | 247 Amelia Dr W, Martinez, GA 30907-9376 | 2017-11-27 |
| 1518387430 | Jennifer Giurlani Peters | Registered Nurse | 10484 Livewood Way, San Diego, CA 92131-2201 | 2014-04-17 |
| 1790113504 | Jennifer Marie Peters | Marriage & Family Therapist | 16130 Se Eastgate Way Apt D105, Bellevue, WA 98008-5474 | 2013-10-15 |
| 1538592548 | Jennifer Rabekka Peters | Licensed Practical Nurse | 5262 S 236th Cir, Buckeye, AZ 85326-7207 | 2013-08-13 |
| 1710259452 | Jennifer Sand Peters | Pharmacist | 2670 Brandon Rd, Columbus, OH 43221-3304 | 2012-01-26 |
| 1104108257 | Jennifer Lynn Peters | Registered Nurse | 249 Thorncliff Rd, Buffalo, NY 14223-1243 | 2011-09-14 |
| 1447894142 | Jennifer Peters | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2019-11-05 |
| 1740757681 | Jennifer Lynne Peters | Pharmacist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2018-10-29 |
| Street Address |
111 W STONE DR SUITE 110 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284314 | Robert Northrop | Family Medicine | 111 W Stone Dr, Ste 200, Kingsport, TN 37660-6027 | 2005-06-10 |
| 1720685217 | Shayla Atkins Kilgore | Nurse Practitioner | 111 W Stone Dr, Kingsport, TN 37660-6027 | 2020-10-07 |
| 1356891493 | Heather N Ketron | Registered Nurse | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-10-13 |
| 1063962728 | Amanda A. Cantwell | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-10-06 |
| 1346693868 | Keressa L. Clark | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-07-20 |
| 1184077158 | Kayla J Joyce | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-07-14 |
| 1093165102 | Kathryn A. Harris | Registered Nurse | 111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 | 2016-06-20 |
| 1609239425 | Courtney L Bowles | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-03-30 |
| 1598124398 | Wellmont Medical Associates, Inc. | Clinic/Center | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-02-22 |
| 1760848204 | Kenneth S Burnette | Registered Nurse | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563455 | Kathleen Barksdale Beine | Family Medicine | 4515 Brookridge Dr, Kingsport, TN 37664-2105 | 2020-06-24 |
| 1861768350 | Jennifer Lynn Woodard | Family Medicine | 415 Broad St Ste 410, Kingsport, TN 37660-4264 | 2012-03-28 |
| 1588786768 | Medical Education Assistance Corporation | Family Medicine | 102 Ravine Rd, Ste 1, Kingsport, TN 37660 | 2007-04-06 |
| 1659450096 | Tihomir Ivanov Tochev | Family Medicine | 1501 E Stone Dr, Kingsport, TN 37660-4132 | 2006-11-05 |
| 1508877846 | Roger Archer | Family Medicine | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2006-08-11 |
| 1285664839 | Scott D Mclain | Family Medicine | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 | 2006-07-03 |
| 1295778538 | Centerpoint Medical Clinic LLC | Family Medicine | 2020 Brookside Drive, Suite 20, Kingsport, TN 37660 | 2006-06-14 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396796173 | Daniel L Dickerson | Family Medicine | 208 Lynn Garden Dr, Ste 2, Kingsport, TN 37660-3171 | 2006-05-15 |
| 1174509533 | Joann W. D'aprile-lubrano | Family Medicine | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3606 | 2005-12-19 |
| Find all providers in KINGSPORT | ||||
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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.