DIANNA MICHELLE PETERSON (NPI# 1932657640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932657640 |
| Entity Type | Individual |
| Full Name | DIANNA MICHELLE PETERSON |
| Credential | NP |
| Practice Address |
722 Hyatt St Gaffney SC 29341-2643 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8644892400 |
| Practice Fax Number | 8644883987 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20475 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SC9764J577 | 01 |
| SC | MEDICARE PIN | SC97646067 | 01 |
| SC | MEDICARE PIN | SC97646084 | 01 |
| SC | NP4282 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1506 N Limestone St Ste B, Gaffney, SC 293404747 | 8644874451 | 8644874788 |
| 303 W Pine St Ste B, Blacksburg, SC 297021549 | 8648393082 | 8648393064 |
| 517 Chesnee Hwy, Gaffney, SC 293412709 | 8644577655 | 8644878718 |
| Street Address |
722 HYATT ST |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29341-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154390599 | David J Lydon | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2006-03-17 |
| 1902327760 | Betsey Collins Scruggs | Nurse Practitioner | 722 Hyatt St, Gaffney, SC 29341-2643 | 2017-07-02 |
| 1093171332 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2015-12-31 |
| 1609264936 | Spartanburg Medical Center | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2015-01-09 |
| 1932334786 | Doshandra N Nelson | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2009-05-22 |
| 1598902488 | Novant Medical Group Inc | Family Medicine | 722 Hyatt St, Suite A, Gaffney, SC 29341-2643 | 2009-01-14 |
| 1891932919 | Novant Medical Group Inc | Family Medicine | 722 Hyatt St, Suite C, Gaffney, SC 29341-2644 | 2009-01-12 |
| 1982841243 | Novant Medical Group Inc | Family Medicine | 722 Hyatt St, Suite B, Gaffney, SC 29341-2643 | 2009-01-08 |
| 1598900078 | Mary Black Physicians Group, LLC | Family Medicine | 722 Hyatt St, Suite C, Gaffney, SC 29341-2643 | 2008-12-11 |
| 1134376734 | Novant Medical Group Inc | Orthopaedic Surgery | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855564 | Taylor Lynn Helms | Speech-Language Pathologist | Cherokee County School District 1, 141 Twin Lake Rd, Gaffney, SC 29341 | 2019-08-09 |
| 1679092084 | Jasmine Evonne Tate | Specialist/Technologist | 131 Poplar Ridge Drive, Gaffney, SC 29341 | 2017-09-18 |
| 1538532163 | Gail Ritchie-antenucci | Counselor | 401 S. Logan Street, Gaffney, SC 29341 | 2015-11-04 |
| 1457755381 | Advantage Early Intervention of The Upstate | Early Intervention Provider Agency | 428 Old Metal Road, Gaffney, SC 29341 | 2014-10-21 |
| 1245659945 | Rebecca Wheeler | Registered Nurse | 855 West Rutledge Avenue, Gaffney, SC 29341 | 2014-04-09 |
| 1558677559 | Lisa Bishop, Mcd,ccc-slp | Speech-Language Pathologist | 109 A Chelle Lin Drive, Gaffney, SC 29341 | 2010-08-27 |
| 1912101965 | Palmetto Chiropractic Plus | Chiropractor | 428 Hyatt Street Ste B, Gaffney, SC 29341 | 2007-06-13 |
| 1093919391 | Chiropractic Wellness Inc | Chiropractor | 122 S. Granard Street, Gaffney, SC 29341 | 2007-06-12 |
| 1003038084 | Kathy Jo Bratton | Specialist/Technologist | 153 Green Park Drive, Gaffney, SC 29341 | 2007-05-02 |
| 1225155138 | Wanda Marie Bobo | Occupational Therapy Assistant | 233 Tiffany Park, Gaffney, SC 29341 | 2007-03-23 |
| Find all providers in zip 29341 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1013476506 | Tina Luanne Green | Nurse Practitioner | 104 Willis Plz, Gaffney, SC 29341-1500 | 2019-03-14 |
| 1700373206 | Brandi Nicole Rose | Nurse Practitioner | 1133 Oak Ridge Rd, Gaffney, SC 29341-5021 | 2018-04-19 |
| 1255832598 | Dana Nicole Stanford | Nurse Practitioner | 1610 N Limestone St, Gaffney, SC 29340-2312 | 2018-02-22 |
| 1659756310 | Carrie Keenan Hall | Nurse Practitioner | 1506 N Limestone St Ste C, Gaffney, SC 29340-4747 | 2015-07-23 |
| 1811501935 | Teresa Ann Smith | Nurse Practitioner | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2020-09-04 |
| 1518443076 | Melisa Hammett | Nurse Practitioner | 1604 N Limestone St, Gaffney, SC 29340 | 2018-07-17 |
| 1760978969 | Katlyn Olivia Mauney | Nurse Practitioner | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2018-07-11 |
| 1437651767 | Jessica Weathers Stamey | Nurse Practitioner | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2018-03-02 |
| 1649789579 | Kathleen Gilfillan Bowling | Nurse Practitioner | 517 Chesnee Hwy, Gaffney, SC 29341-2709 | 2017-09-22 |
| Find all providers in GAFFNEY | ||||
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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.