Provider Demographics
NPI:1306839758
Name:PEEK, JULIE THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:THOMAS
Last Name:PEEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 21ST AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1848
Mailing Address - Country:US
Mailing Address - Phone:615-327-9371
Mailing Address - Fax:615-329-6652
Practice Address - Street 1:342 21ST AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1848
Practice Address - Country:US
Practice Address - Phone:615-327-9371
Practice Address - Fax:615-329-6652
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN023676208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0193433OtherBLUE CROSS
TN110415OtherCIGNA
TN079138OtherAETNA
TN3069541Medicaid
TNE20839OtherHEALTHSPRINGS
TN00000982549 02OtherUNITEDHEALTHCARE
TN3069541Medicaid
TNE20839Medicare UPIN