MS. PATRICIA PETERSON (NPI# 1134694250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134694250 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA PETERSON |
| Credential | NP |
| Practice Address |
7836 W Jefferson Blvd Ste 101 Fort Wayne IN 46804-4178 |
| Practice Telephone | 2904943484 |
| Practice Fax Number | 2909690188 |
| Mailing Telephone | 2604943484 |
| Mailing Fax Number | 2609590388 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71008435A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1797 W Kem Rd, Marion, IN 469521733 | 2242400826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1588156103 | Patricia Ann Peterson | Technician | 1240 G St Ne, Washington, DC 20002-4424 | 2018-05-30 |
| 1841587961 | Patricia Ann Peterson | Social Worker | 5905 Sir Henry Rd, Orlando, FL 32808-3323 | 2011-07-10 |
| 1831316397 | Patricia L Peterson | Speech-Language Pathologist | 600 Campus Dr, Wentzville, MO 63385-3433 | 2007-04-19 |
| 1669017315 | Patricia Ann Peterson | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2019-11-15 |
| 1407368582 | Patricia Fay Peterson | Occupational Therapist | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-30 |
| 1255640413 | Patricia B Peterson | Counselor | 1611 116th Ave Ne, Bellevue, WA 98004-3026 | 2010-10-05 |
| 1265746747 | Patricia E Peterson | Counselor | 323 S Minnesota St, Crookston, MN 56716-1601 | 2010-07-27 |
| 1518288661 | Patricia Emmerling Peterson | Specialist/Technologist | 555 Warren Rd, Ithaca, NY 14850-1862 | 2010-06-11 |
| 1033435136 | Patricia Peterson | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2010-04-14 |
| Street Address |
7836 W JEFFERSON BLVD STE 101 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801054358 | Maria Regina Valcarcel | Internal Medicine | 7836 W Jefferson Blvd Ste 101, Nephrology Associates of Northern Indiana, Fort Wayne, IN 46804-4178 | 2008-05-30 |
| 1013203561 | Abdurrahman M Hamadah | Internal Medicine | 7836 W Jefferson Blvd Ste 101, Fort Wayne, IN 46804-4178 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142903 | Jennifer K Smith | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-08-31 |
| 1699129148 | Kimberly Mcmurray | Nurse Practitioner | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-04-21 |
| 1427429943 | Matthew P Connor | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2015-10-09 |
| 1396080024 | Rose Carolyn Wilcox | Nurse Practitioner | 14411 Smugglers Notch, Suite A, Fort Wayne, IN 46814-8701 | 2012-12-06 |
| 1487904140 | Shaun Marie Hart | Nurse Practitioner | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2012-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1811559321 | Natalie Dawn Coleman | Nurse Practitioner | 537 Marion St, Mitchell, IN 47446-1026 | 2019-07-03 |
| 1225592843 | Kaitlyn Tinius | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 171, Avon, IN 46123-6914 | 2019-01-28 |
| 1760953533 | Jeanetta Carol Conway | Nurse Practitioner | 8368 Helmsley Ct, Fishers, IN 46038-4430 | 2018-12-05 |
| 1366918104 | Irina Kochersperger | Nurse Practitioner | 4972 Lincoln Ave Ste 101, Evansville, IN 47715-7909 | 2018-10-19 |
| 1780160069 | Cara Crone | Nurse Practitioner | 8402 Harcourt Rd Ste 500, Indianapolis, IN 46260-2054 | 2018-07-19 |
| 1376051607 | Bethann Pradny | Nurse Practitioner | 5125 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-01-22 |
| 1710415559 | Joseph K Muriithi | Nurse Practitioner | 515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 | 2017-05-24 |
| 1689129645 | Casie Stevens | Nurse Practitioner | 1701 Senate Blvd Ste 238, Indianapolis, IN 46202-1239 | 2016-08-19 |
| 1700239175 | Melissa Lorenz | Nurse Practitioner | 301 Gordon Gutmann Blvd Ste 301, Jeffersonville, IN 47130-3767 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on MS. PATRICIA PETERSON.
| 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.