MRS. BERNADINE PETERS (NPI# 1013455641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013455641 |
| Entity Type | Individual |
| Full Name | MRS. BERNADINE PETERS |
| Credential | NUTRITIONISTS |
| Practice Address |
1303 Dr Martin L King Jr Ave Mobile AL 36603-5341 |
| Practice Telephone | 2514367751 |
| Practice Fax Number | 2514367765 |
| Mailing Telephone | 2514367754 |
| Mailing Fax Number | 2514367765 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
1303 DR MARTIN L KING JR AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36603-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1871119040 | Faith Alce | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-23 |
| 1700401098 | Rashonda Jordan | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-11 |
| 1922623453 | Anna Katherine Leurck | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-10 |
| 1215412770 | Lawana D Kennedy | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-10-01 |
| 1952886491 | Raven J Lang | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-10-01 |
| 1043794480 | Franklin Primary Health Center, Inc. | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-09-21 |
| 1013491802 | Joycelyn Curtis | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-09-18 |
| 1124565494 | Kimberly Norris | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-01-25 |
| 1144770389 | Karen Mcghee | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1871936641 | Leticia M Gibbs | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2013-04-11 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1003896358 | Angelia Deniese Lewis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2006-01-20 |
| 1982846754 | Dales Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 880 Martin Luther King Ave, Suite E, Mobile, AL 36603-0000 | 2009-03-25 |
| 1619022928 | Ladas Pharmacy | Durable Medical Equipment & Medical Supplies | 1050 S Broad St, Mobile, AL 36603-1038 | 2007-01-24 |
| Find all providers in zip 36603 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773993 | Donnie Love Cook | Nutritionist | 6007 Meadow Winds Dr Ne, Huntsville, AL 35811-2533 | 2020-02-23 |
| 1588220313 | Brandy Farr | Nutritionist | 192 Winn Rd, Scottsboro, AL 35769-6526 | 2019-05-16 |
| 1477930857 | Ali Elliott | Nutritionist | 2925 Virginia Rd, Mountain Brk, AL 35223-1253 | 2015-05-05 |
| 1821482944 | Debbie Vail | Nutritionist | 13536 County Road 45, Tuskegee, AL 36083-6117 | 2015-03-26 |
| 1710115126 | Alison Hulsey | Nutritionist | 624 10th Avenue S, Birmingham, AL 35205 | 2009-06-24 |
| 1689801268 | Debbie L Snead | Nutritionist | 130 Miranda Rd, Warrior, AL 35180-4954 | 2009-06-22 |
| 1124255781 | Meg Sanderson | Nutritionist | 1644 Old Cahaba Ct, Helena, AL 35080-7054 | 2009-06-22 |
| 1215125810 | Sandra Vinson | Nutritionist | 806 Saint Vincents Dr, Suite 500, Birmingham, AL 35205-1684 | 2007-10-09 |
| 1396870010 | West Alabama Nutritional Consultants, LLC | Nutritionist | 701 University Blvd E, Suite 809, Tuscaloosa, AL 35401-2086 | 2007-02-22 |
| 1619062627 | Karen M. Pennington | Nutritionist | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.