BOBBIE JO PETERSON (NPI# 1043409352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043409352 |
| Entity Type | Individual |
| Full Name | BOBBIE JO PETERSON |
| Credential | NP |
| Practice Address |
10941 Raven Ridge Rd Suite 103 Raleigh NC 27614-6487 |
| Mailing Address |
5612 Bella Terra Ct Wake Forest NC 27587-7518 |
| Practice Telephone | 9192560900 |
| Mailing Telephone | 9192225634 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
128153 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10941 RAVEN RIDGE RD SUITE 103 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-6487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477691 | Tammy L. Hilbert | Obstetrics & Gynecology | 10941 Raven Ridge Rd, Suite 109, Raleigh, NC 27614-6487 | 2005-06-16 |
| 1093177404 | Hereditary Care Center | Genetic Counselor, MS | 10941 Raven Ridge Rd, Suite 107, Raleigh, NC 27614-6487 | 2016-03-24 |
| 1396103222 | Amanda Elaine Tattersall | Nurse Practitioner | 10941 Raven Ridge Rd, Raleigh, NC 27614-6487 | 2016-02-06 |
| 1467899633 | Heath B Brantley | Dentist | 10941 Raven Ridge Rd, Raleigh, NC 27614-6487 | 2013-05-29 |
| 1265764849 | Alyssa Joan Hoffmann | Nurse Practitioner | 10941 Raven Ridge Rd, Suite 105, Raleigh, NC 27614-6487 | 2010-02-05 |
| 1205081478 | Stepping Stones Pediatrics, Pllc | Clinic/Center | 10941 Raven Ridge Rd, Suite 105, Raleigh, NC 27614-6487 | 2008-12-01 |
| 1225218910 | Michael Law Md Pa | Specialist | 10941 Raven Ridge Rd, Suite 103, Raleigh, NC 27614-6487 | 2007-11-09 |
| 1447463310 | Roger D Urlaub Dds Pa | Clinic/Center | 10941 Raven Ridge Rd, #115, Raleigh, NC 27614-6487 | 2007-05-08 |
| 1982725933 | Dr. Craig Q. Adams Dmd | Dentist | 10941 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6487 | 2007-04-03 |
| 1356431415 | Roger David Urlaub | Dentist | 10941 Raven Ridge Rd, Suite 115, Raleigh, NC 27614-6487 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1710598644 | Nicole Dora Licato | Nurse Practitioner | 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 | 2020-08-13 |
| 1316561178 | Mintoria Lynette Stockton | Nurse Practitioner | 8332 Mcguire Dr, Raleigh, NC 27616-5682 | 2020-06-07 |
| 1700407103 | Sadonna Marlene Sawyer | Nurse Practitioner | 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 | 2020-04-27 |
| 1447879903 | Christapher Frank | Nurse Practitioner | 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 | 2020-04-14 |
| 1265065015 | Shubham Tyagi | Nurse Practitioner | Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 | 2020-02-20 |
| 1073163812 | Taylor Brooke Lawrence | Nurse Practitioner | 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 | 2019-09-13 |
| 1811456320 | Elizabeth Campbell Mcgrath | Nurse Practitioner | 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 | 2019-03-14 |
| 1922578541 | Dorothy Nwizu | Nurse Practitioner | 608 Kavkaz St, Raleigh, NC 27610-3176 | 2018-11-26 |
| 1265900013 | Patricia-marie Edge Odom | Nurse Practitioner | 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 | 2018-11-09 |
| Find all providers in RALEIGH | ||||
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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.