Teddi Eriksen Peters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

268151 Issued in KY

Practice address

624 N Dixie Blvd
Radcliff, KY 40160-1311

Phone

(270) 351-6074

NPI assigned

Jan 11, 2021

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

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Teddi Eriksen Peters PLLC

  • Chiropractor
  • Radcliff, KY
  • NPI 1982577086
  Medicare reassignment NPD Authorized official
• William C. Eriksen, PSC

  • Chiropractor
  • Radcliff, KY
  • NPI 1184700734
  Medicare reassignment

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": "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"
        },
        {
            "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"
        }
    ],
    "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": []
}

• Carmen N. Painter, APRN
• Sarah Anne Parrish, MD
• Patient Centered Care of Kentucky LLC
• Abby Suzanne Peak, OTR/L
• Goldwin Wanida Penning
• Claire Phillips, MA LLPC
• Physical Therapy Associates, Inc
• Tammy Lea Pierce
• Pinnacle Inpatient Medical Services, PLLC
• Chantay Lee Pope, LPN

• Chiropractor in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Chiropractor in Kentucky

• 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.

Verify at the official NPI Registry.