DANIELL SUE PETERSON (NPI# 1134691165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134691165 |
| Entity Type | Individual |
| Full Name | DANIELL SUE PETERSON |
| Practice Address |
1711 Osceola Ave Ste 115 Chariton IA 50049-1516 |
| Mailing Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6417748484 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19000 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1711 OSCEOLA AVE STE 115 |
| City | CHARITON |
| State | IA |
| Zip Code | 50049-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952838633 | Kimberly Dawn Pace | Counselor | 115 S. Main St, Chariton, IA 50049 | 2017-05-12 |
| 1790801314 | Northridge Assisted Living, LLC | Assisted Living Facility | 1110 North 6th Street, Chariton, IA 50049 | 2007-03-22 |
| 1710019054 | David John Randall | Dentist | 818 Braden Avenue, Chariton, IA 50049 | 2007-03-12 |
| 1417015595 | Rodney R Stream | Dentist | 934 N 7th Street, Chariton, IA 50049 | 2006-12-04 |
| 1497062558 | Peter Kenneth Hoftiezer | Family Medicine | 1200 N 7th St, Chariton, IA 50049 | 2010-09-09 |
| 1477648376 | Juanita Louise Durham | Nurse Practitioner | 1030 N 7th St, Chariton, IA 50049-1206 | 2006-10-04 |
| 1780665240 | Circle of Friends Home Care | Home Health | 1010 N 7th St, Chariton, IA 50049-1206 | 2005-11-10 |
| 1558847749 | Caregivers of Chariton, LLC | Home Health | 1010 N 7th St, Chariton, IA 50049-1206 | 2018-07-11 |
| 1447741483 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 1030 N 7th St, Chariton, IA 50049-1206 | 2018-05-25 |
| 1942516471 | Red Haw Family Medical Center, PC | Obstetrics & Gynecology | 1030 N 7th St, Chariton, IA 50049-1206 | 2010-08-21 |
| Find all providers in zip 50049 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952838633 | Kimberly Dawn Pace | Counselor | 115 S. Main St, Chariton, IA 50049 | 2017-05-12 |
| 1881822658 | Kristine Louann Kennedy | Counselor | 1200 N 7th St, Chariton, IA 50049-1210 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823339 | Julie Jorstad | Counselor | 505 5th St Ste 700, Sioux City, IA 51101-1509 | 2020-08-26 |
| 1871102319 | Jon P Muller | Counselor | 415 N Niagara St, Maquoketa, IA 52060-2218 | 2020-07-30 |
| 1669081568 | Jennie Ann Mier | Counselor | 900 N 2nd St Ste 2, Cherokee, IA 51012-1373 | 2020-07-27 |
| 1194349118 | Tammy M Holmstrom | Counselor | 1100 Bank St, Webster City, IA 50595-1906 | 2020-06-05 |
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1700418571 | Daniel Ryan Chute | Counselor | 317 7th Ave Se # 203, Cedar Rapids, IA 52401-2007 | 2020-02-10 |
| 1154968535 | Shannon Deann Stewart | Counselor | 813 N Lincoln St Ste 9, Knoxville, IA 50138-1421 | 2019-12-05 |
| 1194361758 | Kelly Jean Saul | Counselor | 250 20th Ave N, Clinton, IA 52732-2503 | 2019-11-19 |
| 1326689530 | Rachel Anne Nauman | Counselor | 3023 Stellar Eagle Dr, Dubuque, IA 52001-8646 | 2019-09-30 |
| 1730734187 | Tiffany E Heth | Counselor | 1555 Se Delaware Ave Ste M, Ankeny, IA 50021-4011 | 2019-08-02 |
| 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.