MRS. HOLLY PETERSON (NPI# 1053620666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053620666 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY PETERSON |
| Practice Address |
1107 Park Rd Jackson MI 49203-5066 |
| Practice Telephone | 5177877907 |
| Mailing Telephone | 5177877907 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999536 | Holly Peterson | Pharmacist | 1020 W Los Altos Rd, Tucson, AZ 85704-4134 | 2020-10-14 |
| 1285278614 | Holly Suzanne Peterson | Physician Assistant | 2001 E Quail Run Rd, Emmett, ID 83617-5059 | 2019-10-29 |
| 1376082495 | Holly Peterson | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2017-02-22 |
| 1215241112 | Holly Sue Peterson | Social Worker | 9690 S 1300 E, Suite 200, Sandy, UT 84094-3721 | 2010-08-03 |
| 1295968618 | Holly Peterson | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2009-09-02 |
| 1164672317 | Holly Peterson | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2008-09-24 |
| 1063438141 | Holly Fay Peterson | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-14 |
| 1356339303 | Holly Christine Peterson | Internal Medicine | 1200 Sixth Ave N, Centra Care Clinic, St Cloud, MN 56303-2735 | 2005-10-12 |
| Street Address |
1107 PARK RD |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1437764891 | Janet Hammock | Homemaker | 171 Coffman St, Jackson, OH 45640-1211 | 2020-09-12 |
| 1851856579 | Sylvia L Terry | Homemaker | 2135 Henry Hill Dr Ste 1, Jackson, MS 39204-2027 | 2019-02-06 |
| 1396219382 | Mark A Woods | Homemaker | 360 Comet Dr Ste C, Jackson, MS 39206-4333 | 2019-01-14 |
| 1558847616 | Angela Coleman | Homemaker | 2317 Kibby Rd, Jackson, MI 49203-3835 | 2018-07-12 |
| 1326541178 | Jamila Birden | Homemaker | 3233 Charleston Dr, Jackson, MS 39212-4102 | 2018-03-16 |
| 1750883468 | Serenity Angels LLC | Homemaker | 3537 Cottage St, Jackson, MS 39213-5721 | 2018-03-08 |
| 1487156873 | Debra Ann Scott | Homemaker | 76 Woodland Dr, Jackson, TN 38305-6414 | 2018-03-02 |
| 1225559917 | Ronesha Haygood | Homemaker | 1636 Raymond Road Apt 17k, Jackson, MS 39205 | 2017-07-03 |
| 1245570597 | Dorothy M. Taylor | Homemaker | 104 Walnut Trace Dr., Jackson, TN 38305 | 2013-02-25 |
| Find all providers in JACKSON | ||||
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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.