KRISTEN MARIE PETERSON (NPI# 1104353556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104353556 |
| Entity Type | Individual |
| Full Name | KRISTEN MARIE PETERSON |
| Practice Address |
564 Burnside Dr Tipp City OH 45371-3711 |
| Mailing Address |
4927 Woodman Park Dr Apt 6 Dayton OH 45432-1136 |
| Practice Telephone | 9378385492 |
| Mailing Telephone | 9378385492 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
400705210108 | OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0211289 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053861716 | Kristen Peterson | Student in an Organized Health Care Education/Training Program | 121 Apple Tree Ct, Frankfort, KY 40601-9016 | 2016-10-06 |
| 1619379419 | Kristen M Peterson | Registered Nurse | 5268 S Espana Cir, Centennial, CO 80015-3704 | 2014-09-23 |
| 1932510369 | Kristen Marie Peterson | Ophthalmology | 1720 University Blvd Ste 601, Birmingham, AL 35233-1816 | 2014-05-20 |
| 1942838529 | Kristen Peterson | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-03-30 |
| 1922577469 | Kristen Kathleen Peterson | Optometrist | 591 Lincoln St, Worcester, MA 01605-1932 | 2018-11-14 |
| 1831675651 | Kristen Peterson | Nurse Practitioner | 325 W Walnut St Ste 600, Lebanon, KY 40033-1378 | 2018-07-15 |
| 1275029381 | Kristen Terese Peterson | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2018-07-02 |
| 1134594583 | Kristen Noel Peterson | Marriage & Family Therapist | 5915 S Rainbow Blvd Ste 105, Las Vegas, NV 89118 | 2015-12-10 |
| 1063840858 | Kristen Peterson | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2013-10-15 |
| 1730464488 | Kristen Lynn Peterson | Registered Nurse | 360 Peak One Drive, Suite 230, Frisco, CO 80443 | 2011-10-13 |
| Street Address |
564 BURNSIDE DR |
| City | TIPP CITY |
| State | OH |
| Zip Code | 45371-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245619857 | April Taylor | Registered Nurse | 555 North Hyatt St, Tipp City, OH 45371 | 2015-05-28 |
| 1861886285 | Victoria Lyn Kaesler | Social Worker | 90 South Tippecanoe Drive, Tipp City, OH 45371 | 2015-03-24 |
| 1205252921 | Kathleen Phillips | Massage Therapist | 5850 County Rd., Tipp City, OH 45371 | 2014-03-06 |
| 1386088003 | Hocks Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5175 S County Road 25a, Tipp City, OH 45371 | 2013-04-24 |
| 1073897245 | Richard Tebbe | Licensed Practical Nurse | 7600 South Newbury Rd., Tipp City, OH 45371 | 2011-10-05 |
| 1740507888 | Jessica A Rizzotte | Nurse Practitioner | 1483 W. Main St, Tipp City, OH 45371 | 2010-04-29 |
| 1033219365 | Kevin A. Horvath | Pediatrics | 1483 West Main Street, Tipp City, OH 45371 | 2006-09-25 |
| 1962519561 | Far Oaks Orthopedists | Orthopaedic Surgery | 450 North Hyatt, Suite 306, Tipp City, OH 45371 | 2006-08-23 |
| 1205844263 | Frederick Mark Sacks | Psychologist | 1485 Commerce Park Drive, Tipp City, OH 45371 | 2006-08-04 |
| 1891847323 | Nancy C Carner | Social Worker | 1440 W Main St, Tipp City, OH 45371 | 2007-01-17 |
| Find all providers in zip 45371 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518703 | Matthew Gaylor | Technician | 6 Coral Cir, Belpre, OH 45714-1553 | 2020-11-08 |
| 1245831916 | Nicole Bosworth | Technician | 5718 Rousseau Dr, Huber Heights, OH 45424-4329 | 2020-11-08 |
| 1104427863 | Amanda Jo Simulcik | Technician | 3933 Courtyard Dr, Lorain, OH 44053-4431 | 2020-11-07 |
| 1386245025 | Virginia A Patton | Technician | 40560 Burlingham Rd Bsmt, Shade, OH 45776-9556 | 2020-11-07 |
| 1487255261 | Lori Danielle Hann | Technician | 361 York Ave, Delaware, OH 43015-1578 | 2020-11-06 |
| 1346841137 | Jamison Ward Howell | Technician | 300 W Cross St, Morristown, OH 43759-0134 | 2020-11-06 |
| 1154922078 | Shannon Sebring | Technician | 16837 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093316002 | William Patrick Gay | Technician | 134 Smith St, Portsmouth, OH 45662-8766 | 2020-11-05 |
| 1780285684 | Brenda Mcallister | Technician | 10089 High St, Rarden, OH 45671-9047 | 2020-11-05 |
| 1780285742 | Ivan William Miller Jr. | Technician | 241 Silvercrest Dr, Lexington, OH 44904-9364 | 2020-11-05 |
| 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.