MEDICARE: DEANNA PETERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144748971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA PETERSON

Provider Business Mailing Address
First Line	:	8348 LITTLE RD STE 349
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-4919
Country	:	US
Telephone Number	:	727-741-3405
Fax Number	:	727-213-6246

Provider Business Practice Location Address
First Line	:	8348 LITTLE RD
Second Line	:	STE 349
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-4919
Country	:	US
Telephone Number	:	727-741-3405
Fax Number	:	727-213-6246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1235648502 — ELISIA RICKARD BRISCOE
Practice Location Address:

8348 LITTLE RD STE 349
NEW PORT RICHEY, FL
34654-4919

Practice Phone: 727-741-3405
Practice Fax: 727-213-6246

1043713290 — SARRA BOBLOOCH
Practice Location Address:

8348 LITTLE RD STE 349
NEW PORT RICHEY, FL
34654-4919

Practice Phone: 727-741-3405
Practice Fax: 727-213-6246

1356823447 — MS. NATALYA BRILL
Practice Location Address:

8348 LITTLE RD STE 349
NEW PORT RICHEY, FL
34654-4919

Practice Phone: 727-741-3405
Practice Fax:

1699230003 — DR. TASHYANA PLANTILLA DC
Practice Location Address:

8350 LITTLE RD UNIT 105
NEW PORT RICHEY, FL
34654-4919

Practice Phone: 727-232-6000
Practice Fax:

1952960536 — DR. TASHYANA PLANTILLA, D.C., PLLC
Practice Location Address:

8350 LITTLE RD UNIT 105
NEW PORT RICHEY, FL
34654-4919

Practice Phone: 727-232-6000
Practice Fax:

1982224572 — REANAH GIBSON BCBA
Practice Location Address:

8348 LITTLE RD STE 201
NEW PORT RICHEY, FL
34654-4919

Practice Phone: 352-540-5711
Practice Fax:

Directions to “ DEANNA PETERSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.