Diane Kathryn Peterson, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

9908 Issued in CA

Practice address

23970 Jacaranda Dr
Tehachapi, CA 93561-8320

Phone

(661) 821-3821

Fax

(661) 821-1217

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1144471210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23970 JACARANDA DR",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618320",
            "telephone_number": "661-821-3821",
            "fax_number": "661-821-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23970 JACARANDA DR",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618320",
            "telephone_number": "661-821-3821",
            "fax_number": "661-821-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DIANE",
        "middle_name": "KATHRYN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "9908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul S Singh OB-GYN Urogynecology Inc (Paul S Singh OB/GYN Urogyncology Inc)
• Michael James Peacock
• Shawna Dian Pendley
• Rose Perez
• Mark Alan Pesche, D.O.
• Roy C. Peterson, M.D.
• Dana Pettaway
• Christina Lynn Phillips, CMT
• Joshua Pierce, SUDCC
• Janice K Polletta, NP

• Women's Health Nurse Practitioner in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.