CAROL JEAN PETERSON (NPI# 1023309804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023309804 |
| Entity Type | Individual |
| Full Name | CAROL JEAN PETERSON |
| Other Name | CAROL JEAN DEVINE |
| Credential | APNP |
| Practice Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Practice Telephone | 9204457222 |
| Practice Fax Number | 9204457238 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457238 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4378-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730414012 | Carol A Peterson | Health Educator | 2465 Clark Rd, Erie, PA 16510-4411 | 2009-10-05 |
| 1942466677 | Carol Ann Peterson | Social Worker | 6605 W Burnside Rd, #122, Portland, OR 97210-6625 | 2008-08-01 |
| 1538289004 | Carol Peterson | Technician | 4528 N Market St, Saint Louis, MO 63113-2113 | 2007-03-30 |
| 1518098003 | Carol Lynn Peterson | Physical Therapist | 2513 Huntingdon Chase, Atlanta, GA 30350-4964 | 2007-03-08 |
| 1295775377 | Carol M Peterson | Chiropractor | 2228 Turk Rd, Doylestown, PA 18901 | 2006-06-07 |
| 1629056080 | Carol B Peterson | Psychologist | 7400 New La Grange Rd, Ste 312, Louisville, KY 40222-4870 | 2006-01-05 |
| 1447723077 | Carol L Peterson | Speech-Language Pathologist | 700 Glasgow St, Cambridge, MD 21613-1738 | 2019-01-07 |
| 1255858510 | Carol Camille Peterson | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
| 1467744870 | Carol Jeanne Peterson | Genetic Counselor, MS | 500 Red Creek Dr, Suite 220, Rochester, NY 14623-4284 | 2011-05-04 |
| 1225354863 | Carol Peterson | Massage Therapist | 209 N Main St, Andover, MA 01810-3116 | 2010-04-07 |
| Street Address |
744 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398283 | Sampoornima Setty | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2005-06-30 |
| 1447858857 | Caycie N Bray | Physical Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-16 |
| 1326645029 | Nikki Lee Leow | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-06 |
| 1033726914 | Patricia M Slempkes | Occupational Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-09-25 |
| 1255941746 | Cassandra Toellner | Anesthesiologist Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-08-09 |
| 1376151951 | Dayna Elizabeth Schneider | Speech-Language Pathologist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-07-20 |
| 1164045092 | Robyn W Lauritsen | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-27 |
| 1831711860 | Ashley Elizabeth Mijal | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-13 |
| 1336760883 | Veronica B Hoppe | Pharmacist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-06 |
| 1386264521 | Brian Joseph Eggener | Radiology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1245786441 | Danielle Collier | Nurse Practitioner | 835 S Webster, Green Bay, WI 54301-3526 | 2016-08-28 |
| 1275087561 | Kerri Schey | Nurse Practitioner | 2845 Greenbrier Rd Fl 1, Green Bay, WI 54311-6519 | 2016-08-04 |
| 1104205731 | Maureen K Wery | Nurse Practitioner | 2845 Greenbrier Rd Fl 4, Green Bay, WI 54311-6519 | 2015-05-28 |
| 1295128239 | Amanda Bachman | Nurse Practitioner | 1821 S Webster Avenue, Green Bay, WI 54307 | 2015-03-16 |
| 1851643498 | Melissa Anne Smith | Nurse Practitioner | 2845 Greenbriar Road, Suite 320, Green Bay, WI 54208-8900 | 2012-10-05 |
| 1477856581 | Holly Marie Kempers | Nurse Practitioner | 720 S Vanburen Suite 201, Green Bay, WI 54301 | 2010-12-10 |
| 1710900071 | Constance Husman | Nurse Practitioner | 1381 W Mason St, Green Bay, WI 54303-2022 | 2006-07-26 |
| 1487603593 | Kelly R Eells | Nurse Practitioner | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | 2006-05-08 |
| 1033168265 | Deborah Lynn Decker | Nurse Practitioner | 2020 Riverside Dr Ste 200, Green Bay, WI 54301-2300 | 2006-05-06 |
| Find all providers in GREEN BAY | ||||
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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.