Olivia Peterson, N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

30576 Issued in TN

Practice address

Children'S Clinic PLLC
221 W. Tyrone Rd.
Oak Ridge, TN 37830

Phone

(865) 483-6343

Fax

(865) 483-1185

NPI assigned

Feb 21, 2022

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

Other identifiers 1

Other names 1

• Olivia Duncan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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.

• Children'S Clinic

  • Pediatric Adolescent Medicine Physician
  • Oak Ridge, TN
  • NPI 1184746331
  NPD (past)

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1366197022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHILDRENS CLINIC PLLC",
            "address_2": "221 W. TYRONE RD.",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-483-6343",
            "fax_number": "865-483-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDREN'S CLINIC PLLC",
            "address_2": "221 W. TYRONE RD.",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-483-6343",
            "fax_number": "865-483-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "30576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q073147",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "DUNCAN",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerald S. Perlman, PH.D.
• Madilynn Ann Perrigo, PA-C
• Arden Elaine Perry, BSW
• Scott W Peters, MD
• Erik Christian Petersen, D.O.
• Barbara Beck Pettigrew, FNP-BC
• Charles G Pettigrew Jr., CRNA
• Ginger Megan Pettitt, PTA
• Phillips and Rust DDS LLC
• Ciera Phillips, RN

• Pediatric Nurse Practitioner in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.