Trichelle Grace Petermann, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

CP000680 Issued in SD

Practice address

911 E 20TH St
Ste 400
Sioux Falls, SD 57105-1042

Phone

(605) 332-2240

NPI assigned

Feb 6, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1942572086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704303",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST",
            "address_2": "STE 400",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051042",
            "telephone_number": "605-332-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMANN",
        "first_name": "TRICHELLE",
        "middle_name": "GRACE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SD",
            "license": "CP000680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6837130",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Persson, MSN, FNP-C
• Todd W Persson, CNP
• Laura Loraine Rogness Peschong
• Peggy Joan Pesicka Bortnem, MA,CCC-SLP
• Victoria Lynn Peta, PHARMD
• Charles Peters
• Jane M Peters, M.D.
• Jena Lee Peters
• Patricia Peters, M.D.
• Shannon M Peters, MD

• Women's Health Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Women's Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.