DEBORAH SUE PESHKA N.P.
NPI 1386794022
Nurse Practitioner in Grand Rapids, MI

Q: What is Deborah Peshka's NPI number?

The NPI number for Deborah Peshka is 1386794022. It was assigned to this individual provider in the NPPES registry on January 12, 2007. The provider is also known as Deborah Sue Davis Np.

Q: What is Deborah Peshka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Deborah Peshka was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2007

2902 BRADFORD ST NE, GRAND RAPIDS, MI 49525(616) 885-5200 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2021, Sep 9, 2021, Feb 25, 2021 (3 updates tracked since 2021).

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About Deborah Sue Peshka N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH SUE PESHKA N.P. (NPI 1386794022) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704118417) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1386794022

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDEBORAH SUE PESHKACredential: N.P.

Location Address2902 BRADFORD ST NEGrand Rapids, MI 49525-6427

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 885-5200

Sole ProprietorNo

Enumeration DateJanuary 12, 2007

Last NPPES UpdateOctober 1, 20213 updates tracked since enumeration

NPPES CertifiedOctober 1, 2021

✔ NPI 1386794022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704118417

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704118417 (MI)

2902 BRADFORD ST NE, Grand Rapids, MI 49525

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Other Names 1

Former Name (1)Deborah Sue Davis Np

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANGJIN LEE MD, MSC

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)