Teta Peters

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

805297 Issued in NY

Practice address

37 Bonaire Dr
Dix Hills, NY 11746-6525

Phone

(516) 815-3593

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1225890825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BONAIRE DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BONAIRE DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466525",
            "telephone_number": "516-815-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "TETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NJ",
            "license": "26NR23172200",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "805297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla M Paz, CCC-SLP
• Caitlyn Crystal Pedone, DO
• Irene Penny, OTRL
• Dharani Perera
• Hallie Perri
• Virginia Marie Peterson, ANP
• Gayle Barbara Petigrow, PSY.D.
• Benjamin Pfeffer
• Physical Therapy Care of Ny, PC
• Physician Assistant Consulting PC

• Infusion Therapy Registered Nurse in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Infusion Therapy Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.