Active NPI
Teddi Eriksen Peters, DC
- Chiropractor
- Radcliff, KY
National Provider Identifier
1215526744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 268151
- Practice address
- 624 N Dixie Blvd
Radcliff, KY 40160-1311 - Phone
- (270) 351-6074
- NPI assigned
- Jan 11, 2021
- Last updated
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 268151 | KY | Primary |
Addresses
Primary practice location
624 N Dixie Blvd
Radcliff, KY 40160-1311
Mailing address
415 Cardinal Dr
Elizabethtown, KY 42701-2769
Phone (270) 737-7597
Other practice location 1
508 William Thomason Byu
Leitchfield, KY 42754-1489
Phone (270) 259-9199
Other practice location 2
625 N 3rd St
Bardstown, KY 40004-1750
Phone (502) 331-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268151 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teddi Eriksen Peters PLLC | Chiropractor | Current | Accepting new patients |
Locations
624 N Dixie Blvd
Radcliff, KY 40160
Phone (270) 351-6074
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1215526744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 CARDINAL DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012769",
"telephone_number": "270-737-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 N DIXIE BLVD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601311",
"telephone_number": "270-351-6074"
}
],
"practiceLocations": [
{
"address_1": "508 William Thomason Byu",
"address_purpose": "LOCATION",
"city": "Leitchfield",
"state": "KY",
"postal_code": "427541489",
"country_code": "US",
"telephone_number": "270-259-9199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 N 3rd St",
"address_purpose": "LOCATION",
"city": "Bardstown",
"state": "KY",
"postal_code": "400041750",
"country_code": "US",
"telephone_number": "502-331-0001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERS",
"first_name": "TEDDI",
"middle_name": "ERIKSEN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2023-07-18",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "268151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.