DR. KEVIN CHRISTOPHER PETERSON (NPI# 1033226733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033226733 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CHRISTOPHER PETERSON |
| Credential | PH.D |
| Practice Address |
4026 Ne 55th St Suite D Seattle WA 98105-2262 |
| Practice Telephone | 2065261284 |
| Practice Fax Number | 2065261284 |
| Mailing Telephone | 2065261284 |
| Mailing Fax Number | 2065261284 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0000536 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499957 | Kevin Michael Peterson | Dentist | 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 | 2019-10-28 |
| 1790225662 | Kevin Peterson | General Practice | 3551 Rodger Brooke Dr, Anesthesia Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-02-27 |
| 1174712434 | Kevin Richard Peterson | Pharmacist | 2324 S 156th Cir, Omaha, NE 68130-2511 | 2007-10-23 |
| 1053527895 | Kevin Howard Peterson | Psychologist | 31 Baltimore St, Suite 103, Cumberland, MD 21502-3024 | 2007-05-16 |
| 1558327064 | Kevin P Peterson | Family Medicine | 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, MN 55106 | 2006-04-24 |
| 1154972180 | Kevin Peterson | Nurse Anesthetist, Certified Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2019-09-20 |
| 1811543895 | Kevin Nicholas Peterson | Physical Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2019-08-14 |
| 1215412317 | Kevin Bradley Peterson | Audiologist | 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 | 2018-09-25 |
| 1215466321 | Kevin George Peterson | Physical Therapist | 898 Hampton Rd, Mcdonough, GA 30253-6514 | 2017-06-12 |
| 1538533393 | Kevin Peterson | Massage Therapist | 3005 86th St, Urbandale, IA 50322-4001 | 2015-11-17 |
| Street Address |
4026 NE 55TH ST SUITE D |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-2262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971512 | Jaime B Friedman | Internal Medicine | 4026 Ne 55th St, Ste F, Seattle, WA 98105-2254 | 2005-06-08 |
| 1265839799 | Kristen Clifton | Massage Therapist | 4026 Ne 55th St, Suite E, Seattle, WA 98105-2262 | 2014-11-26 |
| 1023410263 | Sandra Fisher | Nurse Practitioner | 4026 Ne 55th St, Suite E, Seattle, WA 98105-2262 | 2014-09-18 |
| 1992045595 | Laboratory Corporation of America | Clinical Medical Laboratory | 4026 Ne 55th St, Suite F, Seattle, WA 98105-2262 | 2013-02-20 |
| 1225374291 | Morry Tolmach | Social Worker | 4026 Ne 55th St, Suite E-200, Seattle, WA 98105-2262 | 2012-12-19 |
| 1801170758 | Leah S Darrow | Occupational Therapist | 4026 Ne 55th St, Suite E, Seattle, WA 98105-2262 | 2011-10-10 |
| 1477720514 | Diane E Fligstein Phd Inc Ps | Psychologist | 4026 Ne 55th St, Suite E, Seattle, WA 98105 | 2008-05-08 |
| 1558545772 | Joseph M Mccreery Md Pllc | Psychiatry & Neurology | 4026 Ne 55th St, Ste E200, Seattle, WA 98105-2262 | 2007-12-24 |
| 1972784395 | Anne Oliver Glasser | Psychologist | 4026 Ne 55th St, Suite A, Seattle, WA 98105-2262 | 2007-11-15 |
| 1376738310 | Mary Patricia Spach | Nurse Practitioner | 4026 Ne 55th St, Suite E, Seattle, WA 98105 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1659910057 | Caitlin Stanaway | Psychologist | 7615 S 134th St, Seattle, WA 98178-5112 | 2020-01-02 |
| 1407495211 | Ellen A. Begley, Ph.d. Pllc | Psychologist | 3417 Fremont Ave N Ste 316, Seattle, WA 98103-3411 | 2019-12-26 |
| 1649735580 | Jennifer Savion | Psychologist | 2800 E Madison St Ste 306, Seattle, WA 98112-4865 | 2019-02-05 |
| 1073084935 | Ann Marie Roepke | Psychologist | 4741 Rainier Ave S, Seattle, WA 98118-1657 | 2018-12-17 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1144676842 | Alisa Horwitz | Psychologist | 2855 31st Ave W, Seattle, WA 98199-2722 | 2016-05-11 |
| 1982065611 | Sara Eagan | Psychologist | 2470 Westlake Ave N Ste 102, Seattle, WA 98109 | 2016-03-08 |
| 1679933899 | Yu Ding | Psychologist | 330 3rd Ave W, 520, Seattle, WA 98119-4180 | 2016-03-01 |
| Find all providers in SEATTLE | ||||
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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.