MYA LYN PETERS (NPI# 1124192125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124192125 |
Entity Type | Individual |
Full Name | MYA LYN PETERS |
Other Name | MYA LYN MONTGOMERY |
Practice Address |
225 North Smith Ave Suite 500 Saint Paul MN 55102 |
Mailing Address |
6196 Birchwood Road Woodbury MN 55125 |
Practice Telephone | 6517266900 |
Practice Fax Number | 6516887570 |
Mailing Telephone | 6514933304 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
225 NORTH SMITH AVE SUITE 500 |
City | SAINT PAUL |
State | MN |
Zip Code | 55102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841366119 | Christina Ann Oye | Spec/Tech, Cardiovascular | 225 North Smith Ave, Suite 500, Saint Paul, MN 55102 | 2006-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
Find all providers in zip 55102 |
Taxonomy Code | 246XS1301X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Cardiovascular |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376773507 | Willis Lee Swygart | Spec/Tech, Cardiovascular | 859 Gabriel Rd, Saint Paul, MN 55119-5602 | 2009-07-22 |
1497814438 | Jeanne Evelyn Keller | Spec/Tech, Cardiovascular | 255 Smith Ave N # 500, St Paul Heart Clinic, Saint Paul, MN 55102-2572 | 2006-12-06 |
1164596177 | Patricia Ann Enwall | Spec/Tech, Cardiovascular | 225 No Smith Ave, Suite 500, Saint Paul, MN 55102 | 2006-11-20 |
1841366119 | Christina Ann Oye | Spec/Tech, Cardiovascular | 225 North Smith Ave, Suite 500, Saint Paul, MN 55102 | 2006-11-28 |
1568535508 | Rachel M Demlow | Spec/Tech, Cardiovascular | 225 Smith Ave N, Suite 100, Saint Paul, MN 55102-2534 | 2006-11-16 |
1265505218 | Carie Kenney | Spec/Tech, Cardiovascular | 225 Smith Ave N Ste 100, Saint Paul, MN 55102-2534 | 2006-11-16 |
1447323407 | Maria Joseph Wagner | Spec/Tech, Cardiovascular | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-11-16 |
1689763385 | Heather Lee Clemenson | Spec/Tech, Cardiovascular | 225 Smith Ave N, Suite 500, Saint Paul, MN 55102-2534 | 2006-10-12 |
1962591883 | Catherine Nattalie Delaria | Spec/Tech, Cardiovascular | 225 Smith Ave N, Saint Paul, MN 55102-2534 | 2006-10-11 |
1417045428 | Christine M Wlaschin | Spec/Tech, Cardiovascular | 225 Smith Ave N, Suite 500, Saint Paul, MN 55102-2534 | 2006-10-11 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55102 |
Please comment or provide details below to improve the information on MYA LYN PETERS.
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.