PETER DEREVA (NPI# 1588283063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588283063 |
| Entity Type | Individual |
| Full Name | PETER DEREVA |
| Practice Address |
2000 Glen Echo Rd Ste 105 Nashville TN 37215-2857 |
| Mailing Address |
2845 Cascade Cove Dr Little Elm TX 75068-7607 |
| Practice Telephone | 2146872392 |
| Practice Fax Number | 2146027003 |
| Mailing Telephone | 2146872392 |
| Mailing Fax Number | 2146027003 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
2000 GLEN ECHO RD STE 105 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37215-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508049 | Clayton C. Cummings Dds PC | Dentist | 2405 Crestmoor Road, Nashville, TN 37215 | 2018-08-20 |
| 1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
| 1477031755 | Wolf Counseling, LLC | Psychologist | 2000 Glen Echo Rd Ste 207, Nashville, TN 37215 | 2018-07-30 |
| 1972022036 | Anna Jane Richards | Registered Nurse | 2506 Sharondale Dr, Nashville, TN 37215 | 2017-09-11 |
| 1003203696 | Deborah Mccaghren Taber | Nurse Practitioner | 3910 Woodmont Boulevard, Nashville, TN 37215 | 2015-04-21 |
| 1245639731 | Kelsie Renee Menard | Speech-Language Pathologist | 4206 Stammer Place, Nashville, TN 37215 | 2014-08-20 |
| 1851709117 | Marci Diane Levy | Physician Assistant | 2000 Richard Jones Rd Ste 220, Nashville, TN 37215 | 2014-07-30 |
| 1811301534 | Cari Riker | Dietitian, Registered | 4205 Hillsboro Pike Ste 314, Nashville, TN 37215 | 2014-06-20 |
| 1295152916 | Mindy Maurine Thorp | Registered Nurse | 2000 Glen Echo Road, Suite 111, Nashville, TN 37215 | 2014-03-19 |
| 1245663152 | Joshua Gropper | Dentist | 3824 Bedford Ave, Nashville, TN 37215 | 2013-08-14 |
| Find all providers in zip 37215 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497269120 | Pinnacle Biolabs LLC | Clinical Medical Laboratory | 315 Deaderick St Ste 1550, Nashville, TN 37238-3003 | 2017-11-16 |
| 1750810057 | Iquity Labs, Inc. | Clinical Medical Laboratory | 111 10th Ave S Ste 100, Nashville, TN 37203-3806 | 2017-06-08 |
| 1760857023 | Results Laboratories LLC | Clinical Medical Laboratory | 624 Grassmere Park Ste 1, Nashville, TN 37211-3674 | 2015-12-11 |
| 1417346792 | Aegis Sciences Corporation | Clinical Medical Laboratory | 365 Great Circle Rd, Nashville, TN 37228-1703 | 2015-01-09 |
| 1508275082 | Industry Lab Diagnostic Partners LLC | Clinical Medical Laboratory | 8122 Sawyer Brown Rd Ste 210, Nashville, TN 37221-1411 | 2014-08-08 |
| 1982046405 | Easy Moblie Labs, Inc | Clinical Medical Laboratory | 149 Space Park S, Nashville, TN 37211-3123 | 2013-07-25 |
| 1518203777 | Diagnovus, LLC | Clinical Medical Laboratory | 336 Hill Ave, Suite 302, Nashville, TN 37210-4712 | 2012-12-17 |
| 1255633996 | Fortier Substance Abuse Testing, Inc. | Clinical Medical Laboratory | 2267 Jackson Downs Blvd, Nashville, TN 37214-2300 | 2010-12-01 |
| 1689862286 | State of Tennessee | Clinical Medical Laboratory | 630 Hart Lane, Nashville, TN 37243-0001 | 2007-10-09 |
| 1700912144 | Laboratory Corporation of America | Clinical Medical Laboratory | 300 20th Ave N Fl 4, Nashville, TN 37203-2131 | 2007-02-27 |
| Find all providers in NASHVILLE | ||||
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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.