REBECCA PETERSON (NPI# 1043689177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043689177 |
| Entity Type | Individual |
| Full Name | REBECCA PETERSON |
| Practice Address |
840 E Plum St Moses Lake WA 98837-1874 |
| Practice Telephone | 5097659239 |
| Practice Fax Number | 5097654124 |
| Mailing Telephone | 5097659239 |
| Mailing Fax Number | 5097654124 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251114 | Rebecca S Peterson | Community Health Worker | 5601 Loch Raven Blvd # G4, Baltimore, MD 21239-2945 | 2020-09-25 |
| 1497377055 | Rebecca Peterson | Licensed Practical Nurse | 297 Mountain View Est, Caryville, TN 37714-3539 | 2020-05-17 |
| 1881818185 | Rebecca Karen Peterson | Psychologist | 13949 Ventura Blvd Ste 210, Sherman Oaks, CA 91423-3570 | 2007-04-11 |
| 1962424044 | Rebecca Jane Peterson | Psychologist | 3309 Duke St, Alexandria, VA 22314-4522 | 2006-07-24 |
| 1225662695 | Rebecca D Peterson | Hospitalist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-02-25 |
| 1205474491 | Rebecca A Peterson | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-12-18 |
| 1336663467 | Rebecca Peterson | Speech-Language Pathologist | 4600 Lockhill Selma Rd, San Antonio, TX 78249-2185 | 2017-07-31 |
| 1003364829 | Rebecca Peterson | Counselor | 5548 Myrtle Ave, Freeland, WA 98249-8776 | 2016-09-21 |
| 1033664800 | Rebecca Peterson | Speech-Language Pathologist | 4121 Pennsylvania Ave, Dubuque, IA 52002-2628 | 2016-08-22 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| Street Address |
840 E PLUM ST |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677833 | County of Grant | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2005-05-23 |
| 1164022935 | Shelena Arielle Campos | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-10-29 |
| 1982204756 | Danielle Nicole O'brien | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-10-29 |
| 1215536396 | Ambar Pineda | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-10-20 |
| 1548873573 | Ellese Sharp | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-08-28 |
| 1881207553 | Corie Danielle Gere | Registered Nurse | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-08-24 |
| 1245841337 | Angelino Serrano | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-08-12 |
| 1023629466 | Kayleen Elizabeth Simpson | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-08-10 |
| 1033744479 | Roger Alan Mar | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-03-05 |
| 1659904225 | Danessa Caroline Raymond | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1871736785 | Chriss Susan Webster | Counselor | 604 W 3rd Ave, Suite D, Moses Lake, WA 98837-2076 | 2009-04-08 |
| 1164022935 | Shelena Arielle Campos | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-10-29 |
| 1982204756 | Danielle Nicole O'brien | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-10-29 |
| 1215536396 | Ambar Pineda | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-10-20 |
| 1548873573 | Ellese Sharp | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-08-28 |
| 1245841337 | Angelino Serrano | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-08-12 |
| 1023629466 | Kayleen Elizabeth Simpson | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-08-10 |
| 1033744479 | Roger Alan Mar | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-03-05 |
| 1659904225 | Danessa Caroline Raymond | Counselor | 840 E Plum St, Moses Lake, WA 98837-1874 | 2020-02-21 |
| Find all providers in MOSES LAKE | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
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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.