Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa Peacock, NP

Individual provider Nurse Practitioner · NPI 1083736755

Theresa Peacock, NP is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2006, 20 years ago. Practices with Steven V Kozmary MD LLC, an 8-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Nevada and Virginia.

Years since qualifying
20
Licensed in
DC, NV, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2581 El Camino Ave Ste 101
Las Vegas, NV 89102
Phone: (702) 380-3210
Fax: (702) 380-3212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN001542 (NV)
Nurse Practitioner Taxonomy 363L00000X · Licence RN67339 (DC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024167292 (VA)

Record details

NPI number1083736755
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Steven V Kozmary Md Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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