MICHELE L PETERSON (NPI# 1053354480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053354480 |
| Entity Type | Individual |
| Full Name | MICHELE L PETERSON |
| Credential | MD |
| Practice Address |
1875 Woodwinds Dr Woodbury MN 55125-2298 |
| Practice Telephone | 6512326700 |
| Practice Fax Number | 6512326711 |
| Mailing Telephone | 6512326700 |
| Mailing Fax Number | 6512326711 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 41324 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659808129 | Michele Lynn Peterson | Behavioral Analyst | 322 1/2 Desoto Ave, Belen, NM 87002-4538 | 2017-05-16 |
| 1508243528 | Michele Peterson | Psychologist | 28 W Chicago St Ste 3g, Coldwater, MI 49036-1677 | 2015-04-28 |
| 1407040272 | Michele Peterson | Occupational Therapist | 618 E 5th St, Birdsboro, PA 19508-2514 | 2007-09-04 |
| 1275526980 | Michele Lee Peterson | Social Worker | 3299 W Palomar, Hurricane, UT 84737-3278 | 2005-08-27 |
| 1053641993 | Michele L Peterson | Doula | 5850 Cameron Run Ter, 826, Alexandria, VA 22303-1860 | 2009-12-27 |
| 1508924481 | Michele Jennefer Peterson | Specialist | 34730 Pacific Hwy S, Federal Way, WA 98003-6821 | 2006-12-04 |
| Street Address |
1875 WOODWINDS DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644250 | Kerry L Sheehy | Family Medicine | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2005-07-21 |
| 1447784186 | Meghan Lavelle | Registered Nurse | 1875 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2298 | 2017-04-19 |
| 1760923155 | Megan Green | Dietitian, Registered | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2017-03-17 |
| 1437523248 | Abigail House Tierney | Physician Assistant | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2015-11-17 |
| 1164898953 | Promise Amajiri | Nurse Practitioner | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2015-08-15 |
| 1164898250 | Forefront Dermatology, S.c. | Dermatology | 1875 Woodwinds Dr, Suite 240, Woodbury, MN 55125 | 2015-08-12 |
| 1154743920 | Eileen Michelle Hernandez | Massage Therapist | 1875 Woodwinds Dr, Suite 100, Woodbury, MN 55125-2298 | 2014-01-14 |
| 1871870543 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr, Ste. 200, Woodbury, MN 55125-2298 | 2011-11-09 |
| 1497042659 | Sarah Marie Holmgren | Advanced Practice Midwife | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-07-07 |
| 1700170487 | Stephanie Lynn Flater Luepke | Audiologist | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588063580 | Healtheast Medical Research Institute | Pediatrics | 9900 Tamarack Road, Woodbury, MN 55125 | 2014-08-15 |
| 1073692190 | Sara K Sweetser | Pediatrics | 7803 Afton Rd, Woodbury, MN 55125 | 2006-11-02 |
| 1194804203 | Daniel J Khoury | Pediatrics | 7803 Apton Rd, Woodbury, MN 55125 | 2006-11-02 |
| 1619056637 | Nora Jeanne Gavigan | Pediatrics | 9680 Tamarack Rd, Ste 100, Woodbury, MN 55125 | 2006-11-02 |
| 1427015130 | Gloria Sue Durelli | Pediatrics | 297 Westwood Dr, Woodbury, NJ 08096-3144 | 2006-04-27 |
| 1801861042 | Irfan Amin | Pediatrics | 40 Woodbury Farms, Woodbury, NY 11797 | 2006-02-21 |
| 1326024787 | David W Griffin | Pediatrics | 8450 Seasons Pkwy - Mail Stop 32900a, Healthpartners Woodbury Clinic, Woodbury, MN 55125-4402 | 2005-12-19 |
| 1063866762 | Chelsey Prall | Pediatrics | 8450 Seasons Pkwy, Woodbury, MN 55125-4402 | 2016-04-19 |
| 1053791392 | Hannah Carlson-donohoe Esdal | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125 | 2015-06-02 |
| 1003293325 | Alicia Marie Osterman Kemp | Pediatrics | 8450 Seasons Pkwy, Woodbury, MN 55125 | 2015-05-06 |
| Find all providers in WOODBURY | ||||
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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.