MRS. DIANE KAUFMAN PETERS (NPI# 1972607018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972607018 |
| Entity Type | Individual |
| Full Name | MRS. DIANE KAUFMAN PETERS |
| Credential | FNP |
| Practice Address |
1030 Jefferson Avenue Memphis TN 38104 |
| Mailing Address |
3246 Brakebill Cv Memphis TN 38116-3006 |
| Practice Telephone | 9012714900 |
| Mailing Telephone | 9015502337 |
| Mailing Fax Number | 9013323703 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2011-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0000005250 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902166507 | Diane Louise Peters | Registered Nurse | 8220 Shady Nook Ct, Pasadena, MD 21122-1149 | 2012-05-17 |
| 1073832499 | Diane Peters | Licensed Practical Nurse | 18 Harding Way, Monroe, NY 10950-5134 | 2010-05-25 |
| 1942416730 | Diane Peters | Speech-Language Pathologist | 790 Nw 107th Ave Ste 209, Miami, FL 33172-3158 | 2007-05-16 |
| 1902891047 | Diane Peters | Psychologist | 218 N Main St, Bryan, OH 43506-1318 | 2005-09-14 |
| 1467520023 | Diane M Peters | Pharmacist | 321 Jefferson St N, Wadena, MN 56482-1372 | 2006-12-01 |
| Street Address |
1030 JEFFERSON AVENUE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942210174 | Lisa Marie Erickson | Audiologist | 1030 Jefferson Avenue, Memphis Vamc- Audio 112h, Memphis, TN 38104 | 2006-08-09 |
| 1376066183 | Sara Ellen Neil | Pharmacist | 1030 Jefferson Avenue, Memphis, TN 38104 | 2017-07-24 |
| 1225384944 | Erika Rouse Carr | Psychologist | 1030 Jefferson Avenue, Memphis, TN 38104 | 2012-07-31 |
| 1669797965 | Kimberly Shelton | Social Worker | 1030 Jefferson Avenue, Memphis, TN 38104-2127 | 2010-03-30 |
| 1528298304 | Maria Pham | Pharmacist | 1030 Jefferson Avenue, Dept 119, Memphis, TN 38104 | 2009-07-15 |
| 1508040866 | Eugene Stanley Pearlman | Pathology | 1030 Jefferson Avenue, Memphis, TN 38104 | 2007-12-21 |
| 1225129422 | Anna M. Thompson | Physician Assistant | 1030 Jefferson Avenue, Memphis, TN 38104 | 2006-09-27 |
| 1407957616 | Travis Phillips | Internal Medicine | 1030 Jefferson Avenue, Memphis, TN 38104 | 2006-09-26 |
| 1841396132 | Genwyl Ann Glover | Registered Nurse | 1030 Jefferson Avenue, Memphis, TN 38104 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1275009037 | Lashaunda Rogers | Nurse Practitioner | 1264 Wesley Dr Ste 501, Memphis, TN 38116-6456 | 2018-10-19 |
| 1699170019 | Kimberly Nicole Vann | Nurse Practitioner | 1669 Shelby Oaks Dr N Ste 106, Memphis, TN 38134-7441 | 2014-10-28 |
| 1770716078 | Christen D Greenfield | Nurse Practitioner | 3145 Players Club Pkwy, Memphis, TN 38125-8835 | 2009-09-02 |
| 1902802556 | Jacquelyn Delois Kimball | Nurse Practitioner | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2005-06-27 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1912418302 | Linda Marie Jones | Nurse Practitioner | 2400 Poplar Ave, Memphis, TN 38112-3213 | 2017-10-12 |
| 1053846154 | Christina Wallace | Nurse Practitioner | 262 N Danny Thomas Blvd, Memphis, TN 38105-2822 | 2017-04-26 |
| 1194183137 | Gwendolyn Mathis | Nurse Practitioner | 2220 Union Ave, Memphis, TN 38104 | 2016-02-05 |
| 1841684636 | Mia Mccoy | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2015-03-19 |
| Find all providers in MEMPHIS | ||||
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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.