LINDA M. PETERSON (NPI# 1023178761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023178761 |
| Entity Type | Individual |
| Full Name | LINDA M. PETERSON |
| Credential | CP |
| Practice Address |
3445 Penrose Pl Suite 250 Boulder CO 80301-1877 |
| Mailing Address |
1713 Mapleton Ave Boulder CO 80304-4263 |
| Practice Telephone | 3034499494 |
| Practice Fax Number | 3034476453 |
| Mailing Telephone | 3034499494 |
| Mailing Fax Number | 3034476453 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1220 | CO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1220 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07012206 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174848014 | Linda F Peterson | Counselor | 12 Fee Fee Rd, Maryland Heights, MO 63043-2729 | 2010-04-04 |
| 1710007075 | Linda Jeanne Peterson | Pharmacist | 1509 Auburn Way S, Auburn, WA 98002-6739 | 2007-03-30 |
| 1558420380 | Linda K Peterson | Nurse Anesthetist, Certified Registered | 2709 Lakeview Dr, Yankton, SD 57078-5111 | 2006-12-07 |
| 1609899699 | Linda R Peterson | Occupational Therapist | 3212 2nd Av, Lake Charles, LA 70601 | 2006-07-25 |
| 1063452985 | Linda Lafontaine Peterson | Nurse Practitioner | 286 Dego Hill Road, United Methodist Homes Hilltop Campus, Johnson City, NY 13790 | 2006-06-08 |
| 1952307696 | Linda R Peterson | Obstetrics & Gynecology | 205 Orchard Dr, Sisseton, SD 57262-2312 | 2005-06-27 |
| 1801890546 | Linda Marie Peterson | Nurse Anesthetist, Certified Registered | 202 Sandpiper Dr, Portland, TX 78374-4101 | 2005-06-10 |
| 1376545681 | Linda M Peterson | Family Medicine | 401 S Park Ave, Montrose, CO 81401-5741 | 2005-06-01 |
| 1396202008 | Linda Peterson | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2019-02-28 |
| 1447665351 | Linda Peterson | Registered Nurse | 3800 Adam Grubb, Suite 400, Lake Worth, TX 76135-3511 | 2014-06-30 |
| Street Address |
3445 PENROSE PL SUITE 250 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932181120 | Elizabeth Berry | Counselor | 3445 Penrose Pl, Suite 250, Boulder, CO 80301-1877 | 2005-11-15 |
| 1487921961 | Paul Solari | Counselor | 3445 Penrose Pl, Suite #140, Boulder, CO 80301-1878 | 2011-11-28 |
| 1649563917 | William Wenokor | Psychiatry & Neurology | 3445 Penrose Pl, Suite 130, Boulder, CO 80301-1878 | 2011-05-19 |
| 1629240445 | Rocky Mountain Sleep Consultants, Inc. | Psychiatry & Neurology | 3445 Penrose Pl, Suite 130, Boulder, CO 80301-1878 | 2008-04-01 |
| 1912067406 | William Wenokor, M.d., P.C. | Psychiatry & Neurology | 3445 Penrose Pl, Suite 130, Boulder, CO 80301-1878 | 2006-12-12 |
| 1043395924 | Dawn O. Taylor | Psychologist | 3445 Penrose Pl, Suite 250, Boulder, CO 80301-1878 | 2006-10-26 |
| 1093896607 | Dawn O Taylor, Phd, PC | Psychologist | 3445 Penrose Pl, Ste 250, Boulder, CO 80301-1878 | 2006-10-18 |
| 1851339733 | Suzanne M Williamson | Chiropractor | 3445 Penrose Pl, Suite 140, Boulder, CO 80301-1878 | 2006-06-03 |
| 1801873740 | Leon Tan Que Jr. | Psychiatry & Neurology | 3445 Penrose Pl, Suite 130, Boulder, CO 80301-1878 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478314 | Kent Hutchison | Psychologist | 2695 Juilliard St, Boulder, CO 80305-7030 | 2020-08-21 |
| 1366910028 | Kenneth J Mcdonald | Psychologist | 9347 Sugarloaf Rd, Boulder, CO 80302-9221 | 2018-11-10 |
| 1043713159 | Carl Frank Sternberg | Psychologist | 1525 Spruce St Ste 102, Boulder, CO 80302-4256 | 2018-03-14 |
| 1821511718 | Nicole Kalyn Hipp | Psychologist | 2299 Pearl St Ste 310, Boulder, CO 80302-4671 | 2017-07-21 |
| 1114456001 | Trevor Graham, Psy.d., LLC | Psychologist | 2727 Pine St Ste 9, Boulder, CO 80302-3846 | 2017-06-05 |
| 1649643503 | Mark A Whisman | Psychologist | Muenzinger D319, Boulder, CO 80309-0345 | 2015-11-01 |
| 1548666209 | Haley Miller | Psychologist | 255 Canyon Blvd Ste 200, Boulder, CO 80302-4954 | 2014-11-07 |
| 1275941080 | Dina Matic | Psychologist | 5350 Manhattan Cir Ste 210b, Boulder, CO 80303-4236 | 2014-07-24 |
| 1356782676 | Steven Michael Gioielli | Psychologist | 2500 30th St Ste 208, Boulder, CO 80301-1239 | 2013-07-15 |
| 1083955975 | Michal Fire | Psychologist | 1033 Kalmia Ave, Boulder, CO 80304-1743 | 2013-03-03 |
| Find all providers in BOULDER | ||||
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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.