NICOLE ARLENE PETERSON (NPI# 1114411568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114411568 |
| Entity Type | Individual |
| Full Name | NICOLE ARLENE PETERSON |
| Practice Address |
682 Briergate Way Hayward CA 94544-7245 |
| Practice Telephone | 5104872910 |
| Practice Fax Number | 5104872016 |
| Mailing Telephone | 5104872910 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 010081AN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851956072 | Nicole Peterson | Acupuncturist | 208 Oak St Ste 106e, Ashland, OR 97520-1871 | 2019-05-02 |
| 1366882938 | Nicole Yvette Peterson | Behavioral Analyst | 278 Marty Dr, Manteca, CA 95336-3450 | 2013-06-27 |
| 1225017734 | Nicole E Peterson | Physical Therapist | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2006-01-12 |
| 1114540564 | Nicole Peterson | Physician Assistant | 3620 N 3rd St, Phoenix, AZ 85012-2020 | 2020-05-20 |
| 1538780697 | Nicole Peterson | Behavior Technician | 233 S 13th St Ste 1100, Lincoln, NE 68508-2003 | 2020-04-29 |
| 1518511492 | Nicole Peterson | Registered Nurse | 1200 Collins Ave, Mandan, ND 58554-2066 | 2019-07-29 |
| 1548738743 | Nicole Peterson | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-11-06 |
| 1639603913 | Nicole Marie Peterson | Nurse Practitioner | 2251 N Shore Dr, Rhinelander, WI 54501 | 2017-04-13 |
| 1821547621 | Nicole Peterson | Pharmacist | 1201 W Crawford St, Salina, KS 67401-4657 | 2016-09-22 |
| 1144694068 | Nicole Sheree Peterson | Physician Assistant | 1551 Renaissance Towne Dr Ste 400, Bountiful, UT 84010-7676 | 2015-11-16 |
| Street Address |
682 BRIERGATE WAY |
| City | HAYWARD |
| State | CA |
| Zip Code | 94544-7245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821209164 | Linda Stewart | Marriage & Family Therapist | 682 Briergate Way, Hayward, CA 94544-7245 | 2007-05-25 |
| 1912545773 | Monica Ramirez | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2019-12-11 |
| 1831743970 | Tiffany I Fuller | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2019-07-26 |
| 1508329129 | Batya Sally Brose | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2019-04-10 |
| 1962964411 | Monica Johnson | Counselor | 682 Briergate Way, Hayward, CA 94544 | 2019-04-03 |
| 1063988442 | Nicole Martinez | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-10-23 |
| 1003391103 | Karen Yvette Price | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-09-25 |
| 1326529702 | Joyce Marie Pullum | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-08-24 |
| 1942796917 | Maria Biancca Legaspi Parazo | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-07-02 |
| 1942795893 | Katharyn Anderson | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845147 | Yves Richard Preval | Respiratory Therapist, Registered | 29843 Baltic Ct, Hayward, CA 94544 | 2019-01-17 |
| 1578044764 | Dionisia Maria Inocencio | Psychologist | 24823 Soto Rd, Hayward, CA 94544 | 2018-08-24 |
| 1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
| 1528580990 | Mind Fitness Center | Counselor | 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 | 2017-07-07 |
| 1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
| 1629456520 | Kevin Porciuncula | Family Medicine | 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 | 2015-05-12 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1386993558 | Jose Angel Gonzalez Jr. | Counselor | 107 Jackson St., Hayward, CA 94544 | 2012-09-04 |
| 1003171828 | Alameda County Public Health Nursing | Public Health or Welfare | 24085 Amador, Hayward, CA 94544 | 2012-07-09 |
| 1114208907 | Building Opportunities for Self Sufficiency | Community/Behavioral Health | 730 #8 Bartlett Ave, Hayward, CA 94544 | 2011-09-07 |
| Find all providers in zip 94544 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877881 | Linda N Bui | Case Manager/Care Coordinator | 24085 Amador St Ste 310, Hayward, CA 94544-1222 | 2020-07-01 |
| 1922625615 | Vannesa Imperial | Case Manager/Care Coordinator | 24085 Amador St Ste 400, Hayward, CA 94544-1226 | 2020-06-29 |
| 1639795677 | Fedilynn Radovan Basobas-cacao | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-06-24 |
| 1841768488 | Ayesha Zahoor | Case Manager/Care Coordinator | 24371 Anna St, Hayward, CA 94545-2049 | 2018-11-12 |
| 1124258561 | Shirley Jean Walker | Case Manager/Care Coordinator | 21757 Meekland Ave, Hayward, CA 94541-3854 | 2009-07-20 |
| 1952902280 | Andy Tran | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-11-03 |
| 1396343240 | Danella Ruth Mckinnon | Case Manager/Care Coordinator | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2020-10-13 |
| 1740887165 | Daisy Jacqueline Orozco | Case Manager/Care Coordinator | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2020-10-08 |
| 1033722343 | Clifford Chin | Case Manager/Care Coordinator | 24085 Amador St, Hayward, CA 94544-1222 | 2020-08-26 |
| 1477166171 | Vycelka Gatto | Case Manager/Care Coordinator | 24085 Amador St, Hayward, CA 94544-1222 | 2020-08-24 |
| Find all providers in HAYWARD | ||||
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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.