COLLEEN PETERSON (NPI# 1073938247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073938247 |
| Entity Type | Individual |
| Full Name | COLLEEN PETERSON |
| Practice Address |
134 Grover Ln Walnut Creek CA 94596-6309 |
| Practice Telephone | 9259379598 |
| Mailing Telephone | 9259379598 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU607 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972800381 | Colleen Ann Peterson | Registered Nurse | 14990 91st Ave N, Maple Grove, MN 55369-8831 | 2011-02-21 |
| 1023227238 | Colleen Margaret Peterson | Marriage & Family Therapist | 4505 S Maryland Pkwy, Box 453047, Las Vegas, NV 89154-9900 | 2007-05-22 |
| 1851418248 | Colleen Peterson | Physical Therapist | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2007-03-23 |
| Street Address |
134 GROVER LN |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952825804 | Brittney Ann Van Gent | Audiologist | 1776 Ygnacio Valley Rd Ste 110, Walnut Creek, CA 94598-3100 | 2017-08-02 |
| 1255778650 | Breanna Reed | Audiologist | 2401 Shadelands Dr, Walnut Creek, CA 94598-2494 | 2013-05-27 |
| 1255665345 | Kathleen Louise Amos | Audiologist | 205 Lennon Ln Ste 201, Walnut Creek, CA 94598 | 2009-09-23 |
| 1396994422 | Patricia A Gillilan Symons | Audiologist | 1776 Ygnacio Valley Rd Ste 210, Walnut Creek, CA 94598-3125 | 2008-09-12 |
| 1932263480 | Heather Scott Gemmer | Audiologist | 710 S Broadway Ste 209, Walnut Creek, CA 94596-5219 | 2006-12-20 |
| 1851919633 | Jessica Guerra | Audiologist | 710 S Broadway Ste 209, Walnut Creek, CA 94596-5219 | 2020-07-08 |
| 1578121729 | Raquel Tenorio | Audiologist | 710 S Broadway Ste 209, Walnut Creek, CA 94596-5219 | 2019-06-03 |
| 1366982100 | Cvs Aoc Services, L.L.C. | Audiologist | 1123 S California Blvd, Walnut Creek, CA 94596-4413 | 2017-02-27 |
| 1841692589 | Ucsf Benioff Children's Hospital Oakland | Audiologist | 2401 Shadelands Dr, Suite 120, Walnut Creek, CA 94598-2494 | 2014-09-25 |
| 1295088987 | Jovina Havard Strzelecki | Audiologist | 1776 Ygnacio Valley Rd, Ste. 110, Walnut Creek, CA 94598-3190 | 2012-10-18 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.