MS. ANN PETERSON (NPI# 1104181445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104181445 |
| Entity Type | Individual |
| Full Name | MS. ANN PETERSON |
| Credential | NP |
| Practice Address |
2 Daly Rd Medford MA 02155-3702 |
| Practice Telephone | 7813938833 |
| Mailing Telephone | 7813938833 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
046055-21 | NH | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
067490 | CT | Nursing Service Providers |
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN86754 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | STATE LICENSE | 046055-21 | 01 |
| CT | STATE LICENCE | 067490 | 01 |
| MA | STATE LICENCE | RN86754 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154545465 | Ann M. Peterson | Nurse Practitioner | 851 Leonard Fulghum Blvd., Ste. 101, Mount Pleasant, SC 29464 | 2007-04-11 |
| 1093889362 | Ann Marie Peterson | Acupuncturist | 12 Elk Mountain Rd, Asheville, NC 28804-2106 | 2006-11-20 |
| 1083003081 | Ann Peterson | Chiropractor | 615 Main St # 768, Frankfort, MI 49635-9806 | 2015-01-13 |
| 1861823528 | Ann Peterson | Dietitian, Registered | 1221 Whipple St, Eau Claire, WI 54703 | 2013-12-06 |
| 1063621571 | Ann Peterson | Specialist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-05-21 |
| 1811019672 | Ann Kathryn Peterson | Nurse Practitioner | 2239 S 108th St, West Allis, WI 53227-1107 | 2007-04-04 |
| 1134291008 | Ann M Peterson | Social Worker | 209 Park Street, Citizen Advocates, Inc., Malone, NY 12953 | 2006-11-15 |
| 1720062748 | Ann E. Peterson | Family Medicine | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2005-12-02 |
| Street Address |
2 DALY RD |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042418 | Sarah Hassan | Registered Nurse | 298 Fellsway W, Medford, MA 02155-2646 | 2020-10-28 |
| 1033635388 | Kaeli Jo Harney | Registered Nurse | 28 Golden Ave, Medford, MA 02155-6104 | 2017-08-18 |
| 1053557413 | Kathryn A Warner | Registered Nurse | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2009-01-06 |
| 1265403851 | Susan Basilicato | Registered Nurse | 1200 Mira Mar Ave, Medford, OR 97504-8546 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342523 | Jody A Williams | Registered Nurse | 156 Canton St, Stoughton, MA 02072-2231 | 2020-10-01 |
| 1427671593 | Aimee Nelson | Registered Nurse | 304 Essex St, Beverly, MA 01915-1919 | 2020-05-24 |
| 1689204869 | Kaitlin Mccarthy | Registered Nurse | 19 Brookfield Rd, Norwood, MA 02062-3203 | 2020-01-16 |
| 1558901991 | Daniela Wonson | Registered Nurse | 65 Perkins St, Gloucester, MA 01930-2929 | 2020-01-14 |
| 1972143527 | Mary Elizabeth Sibbio | Registered Nurse | 304 Woodside Rd, West Barnstable, MA 02668-1736 | 2020-01-12 |
| 1982244075 | Tony Mutugi Miriti | Registered Nurse | 119 Pleasant St, Lowell, MA 01852-2720 | 2020-01-07 |
| 1689218851 | Violette Chery | Registered Nurse | 139 Cross St, Malden, MA 02148-7833 | 2019-10-31 |
| 1104469196 | Nicole Noelle Alabre | Registered Nurse | 15 Governors Ave Unit 1, Winchester, MA 01890-2022 | 2019-10-22 |
| 1346881000 | Samuel Keating Harrell | Registered Nurse | 202 Independence Dr, Chestnut Hill, MA 02467-3664 | 2019-10-03 |
| 1235797101 | Kelly Garrity | Registered Nurse | 380 Sea St, Quincy, MA 02169-2725 | 2019-06-05 |
| Find all providers with the same taxonomy | ||||
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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.