LUCY ROSE PETERSON (NPI# 1053681452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053681452 |
| Entity Type | Individual |
| Full Name | LUCY ROSE PETERSON |
| Practice Address |
111 Bever Grade Road Lapwai ID 83540-0367 |
| Mailing Address |
Po Drawer 367 Lapwai ID 83540-0367 |
| Practice Telephone | 2088432271 |
| Practice Fax Number | 2088432658 |
| Mailing Telephone | 2088432271 |
| Mailing Fax Number | 2088432658 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373940 | Lucy C Peterson | Obstetrics & Gynecology | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2005-08-16 |
| 1790776425 | Lucy Elizabeth Peterson | Plastic Surgery | 105 W 8th Ave, Ste 500, Spokane, WA 99204-2302 | 2005-11-02 |
| Street Address |
111 BEVER GRADE ROAD |
| City | LAPWAI |
| State | ID |
| Zip Code | 83540-0367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447237 | Thanh Danae Vu | Obstetrics & Gynecology | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2005-06-16 |
| 1124666748 | Sally Ann Springs | Massage Therapist | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2019-12-13 |
| 1942864426 | Krystal K Rogers | Registered Nurse | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2019-04-30 |
| 1396202214 | Shalomie Tovyana Wing | Dental Hygienist | 111 Bever Grade Road, Lapwai, ID 83540-8354 | 2019-02-27 |
| 1154608818 | Taawna Nee Lightfoot | Massage Therapist | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2011-11-09 |
| 1962732248 | Byron Paul Sansom | Dentist | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2010-01-08 |
| 1740307479 | Dustin K Worth | Family Medicine | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2007-03-26 |
| 1871642769 | Darrel W Kipp | Counselor | 111 Bever Grade Road, Nimiipoo Health, Lapwai, ID 83540 | 2007-01-09 |
| 1760577308 | Edward D. Smith | Family Medicine | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2006-10-03 |
| 1306859590 | Joanna M Hendren | Dental Hygienist | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114373800 | Tonia Aripa | Social Worker | 111 Bever Gd, Lapwai, ID 83540 | 2016-05-11 |
| 1053432757 | Elizabeth Ann Kendrick | Nurse Practitioner | 111 Beaver Rd, Lapwai, ID 83540 | 2007-04-02 |
| 1376697508 | Lapwai School District 341 | Local Education Agency (LEA) | 225 District Road, Lapwai, ID 83540 | 2007-01-23 |
| 1235207861 | Richard H Curry Jr. | Counselor | 111 Bevergrade, Lapwai, ID 83540 | 2006-12-01 |
| 1962417253 | Linda D Busch | Registered Nurse | 111 Beaver Grade, Lapwai, ID 83540 | 2006-07-29 |
| 1245226570 | Heather Lei Weddle | Pharmacist | 111 Bever Grade, Lapwai, ID 83540 | 2005-09-22 |
| 1912473919 | Sabrina M Wakefield | Social Worker | 111 Bever Grade Rd, Lapwai, ID 83540 | 2018-10-17 |
| 1962859272 | Miles Floyd Robinson | Nurse Practitioner | 111 Beaver Grade, Lapwai, ID 83540 | 2016-05-17 |
| 1962877464 | Heather Foster | Social Worker | 111 Bever Grade, Lapwai, ID 83540 | 2015-12-09 |
| 1194129411 | Penny R Buckland | Nurse Practitioner | 111 Bever Grade, Lapwai, ID 83540 | 2014-10-15 |
| Find all providers in zip 83540 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235207861 | Richard H Curry Jr. | Counselor | 111 Bevergrade, Lapwai, ID 83540 | 2006-12-01 |
| 1396088282 | Myra Irene Campbell | Counselor | 111 Bever Grade, Lapwai, ID 83540 | 2013-03-29 |
| 1083923247 | Mary Jane Miles | Counselor | 111 Bever Grade, Lapwai, ID 83540 | 2010-10-05 |
| 1407160591 | Timothy F Voglewede | Counselor | 111 Bever Grade, Lapwai, ID 83540 | 2010-07-30 |
| 1871642769 | Darrel W Kipp | Counselor | 111 Bever Grade Road, Nimiipoo Health, Lapwai, ID 83540 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1063049682 | Angela Lynn Seal | Counselor | 246 N Curlew Dr Apt 3105, Ammon, ID 83401-1434 | 2020-03-24 |
| 1437785607 | Tamra J Peterson | Counselor | 1246 Yellowstone Ave Bldg F, Pocatello, ID 83201-4374 | 2020-03-19 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1265078935 | Mary Amanda Jensen | Counselor | 3990 E 20 N, Rigby, ID 83442-5818 | 2019-11-18 |
| 1689218018 | D6 Treatment | Counselor | 1001 N 7th Ave Ste 260, Pocatello, ID 83201-5788 | 2019-10-29 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1902453509 | James Floyd Young | Counselor | 504 11th Ave S, Nampa, ID 83651-4243 | 2019-08-20 |
| 1508339409 | Joyce Ella Turnboom | Counselor | 3213 N Tamarack Dr, Boise, ID 83703-4543 | 2019-01-03 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
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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.