CHARLES MARK PETERSON (NPI# 1134243355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134243355 |
| Entity Type | Individual |
| Full Name | CHARLES MARK PETERSON |
| Credential | R.N. |
| Practice Address |
830 14th Ave Seattle WA 98122-4508 |
| Practice Telephone | 2063291186 |
| Mailing Telephone | 2063291186 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN00082324 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609026897 | Charles Marquis Peterson | Internal Medicine | 12910 Dalyn Dr, Potomac, MD 20854-1176 | 2008-09-24 |
| 1902973415 | Charles Walter Peterson | Optometrist | 904 Elliott Ave N, Wenatchee, WA 98801-1666 | 2006-11-29 |
| 1558472613 | Charles Edwin Peterson | Internal Medicine | 904 Meadow Lane, Schenectady, NY 12309 | 2006-08-31 |
| 1700845526 | Charles A Peterson | Orthopaedic Surgery | 8438 N Mercer Way, Mercer Island, WA 98040-3134 | 2006-03-21 |
| 1952302143 | Charles Smith Peterson | Family Medicine | 3130 E Baseline Rd, Suite 101, Mesa, AZ 85204-7290 | 2005-08-10 |
| 1871036798 | Charles Capdeville Peterson | Family Medicine | 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 | 2016-11-25 |
| 1154798502 | Charles Peterson | Counselor | 185 Silas Deane Hwy, Wethersfield, CT 06109 | 2015-09-01 |
| 1982018818 | Charles William Peterson Iv | Behavioral Analyst | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2014-06-18 |
| 1295026821 | Charles John Peterson | Student in an Organized Health Care Education/Training Program | 308 Harvard St Se, Minneapolis, MN 55455-0343 | 2011-05-01 |
| 1437234499 | Charles John Peterson | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-26 |
| Street Address |
830 14TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600651 | Linnea Hope Briggs | Registered Nurse | 1130 N 90th St, Seattle, WA 98103-4002 | 2018-12-10 |
| 1457964587 | Julie Elizabeth Suter | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-08-28 |
| 1700409430 | Mikka Marun Uehara | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-05-28 |
| 1821623257 | Kirsten Elizabeth Wickstrom | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-03-05 |
| 1962036939 | Landi M Johnston | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-02-27 |
| 1699308239 | Jessica Myendu Kabala | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-02-21 |
| 1508499039 | Hodo Mohamud | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-02-12 |
| 1376181099 | Hermona K Tekeste | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2019-12-12 |
| 1164663613 | Catherine M Kim | Registered Nurse | 7107 Greenwood Ave N, Suite B, Seattle, WA 98103-5069 | 2009-03-12 |
| 1871743906 | Angela Marie Mathis | Registered Nurse | 500 19th Ave E, Seattle, WA 98112-4007 | 2008-09-25 |
| Find all providers in SEATTLE | ||||
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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.