Faith E Peterman, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

T-03462 Issued in KS

Practice address

6308 Monrovia St
Shawnee, KS 66216-2740

Phone

(913) 631-8888

Fax

(913) 962-1627

NPI assigned

Sep 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KC Spine Care LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1689016545
  NPD (past)
• Waldo Wellness Group PC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1972761187
  NPD (past)

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1194076281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 MONROVIA ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162740",
            "telephone_number": "913-631-8888",
            "fax_number": "913-962-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 MONROVIA ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162740",
            "telephone_number": "913-631-8888",
            "fax_number": "913-962-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "FAITH",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "KS",
            "license": "T-03462",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "2001005092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Penrose
• Rachel Matilyn Perez, LMSW
• Anne Marie Perry
• Lacie Chalayne Perry
• Kathryn Louise Petelin, DO
• Jennifer Peters, LAC
• Jessica Petrel
• Katherine A Phalen, MD
• Maria Pham
• Pharmacy of Grace Inc.

• Nutrition Chiropractor in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Nutrition Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.