AMANDA DAWN PETERSON (NPI# 1144651019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144651019 |
| Entity Type | Individual |
| Full Name | AMANDA DAWN PETERSON |
| Practice Address |
55475 Santa Fe Trail Yucca Valley CA 92284 |
| Mailing Address |
55475 Santa Fe Trail Telecare Corporation Yucca Valley CA 92284 |
| Practice Telephone | 8553656558 |
| Mailing Telephone | 8553656558 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629559992 | Amanda Ann Peterson | Dietitian, Registered | 6405 France Ave S Ste 480, Edina, MN 55435-2172 | 2018-08-24 |
| 1891230710 | Amanda Kay Peterson | Chiropractor | 421 Front St S, Barnesville, MN 56514-3656 | 2017-01-01 |
| 1528420486 | Amanda Peterson | Counselor | 9580 W Reno Ave, Unit 111, Las Vegas, NV 89148-1710 | 2016-03-22 |
| 1427467828 | Amanda Jean Peterson | Physical Therapist | 1045 Broadway Park Ste 107, Homewood, AL 35209-6256 | 2014-08-11 |
| 1528328275 | Amanda Peterson | Dietitian, Registered | 25 Courtenay Drive, Suite 7100a Msc 290, Medical University of South Carolina, Charleston, SC 29425 | 2012-05-29 |
| 1922605641 | Amanda Peterson | Physical Therapist | 140 S Main St, Saint Albans, VT 05478-1895 | 2020-10-06 |
| 1245851575 | Amanda Lynn Peterson | Pharmacist | 2001 Court Ave, Chariton, IA 50049-1955 | 2020-04-28 |
| 1396371100 | Amanda Mae Peterson | Advanced Practice Midwife | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-03-13 |
| 1982235354 | Amanda Peterson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-04 |
| 1659939320 | Amanda Lee Peterson | Behavior Technician | 245 1st St, Cambridge, MA 02142-1200 | 2019-05-29 |
| Street Address |
55475 SANTA FE TRAIL |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760813836 | Ariel Clark | Counselor | 55475 Santa Fe Trail, Telecare Corporation, Yucca Valley, CA 92284 | 2013-11-27 |
| 1376964478 | Chrysanthia Kirby | Licensed Vocational Nurse | 55475 Santa Fe Trail, Yucca Valley, CA 92284 | 2013-12-17 |
| 1396176509 | Sheena Uritz | Counselor | 55475 Santa Fe Trail, Yucca Valley, CA 92284 | 2013-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| 1659838415 | Lifeline Marketing Group, LLC Kenneth M Folwell Sole Mbr | Genetic Counselor, MS | 57675 Twentynine Palms Hwy, Suite 102, Yucca Valley, CA 92284 | 2019-02-27 |
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1003369620 | Hi -desert Memorial Health Care District | Clinic/Center | 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 | 2016-08-01 |
| 1346639002 | Virginia Susan Mccann | Marriage & Family Therapist | 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 | 2015-01-20 |
| 1578964375 | Desert Oasis Healthcare | Clinic/Center | 57-840 29 Palms Hwy, Yucca Valley, CA 92284 | 2014-09-11 |
| 1306245113 | Katie Z Topper | Nurse Practitioner | 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 | 2014-08-18 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| Find all providers in zip 92284 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689143554 | Lindsay M Foreman | Counselor | 58923 Business Center Dr Ste A-e, Yucca Valley, CA 92284-7311 | 2018-11-20 |
| 1760813836 | Ariel Clark | Counselor | 55475 Santa Fe Trail, Telecare Corporation, Yucca Valley, CA 92284 | 2013-11-27 |
| 1225387160 | Salvatore J. Bearse | Counselor | 55475 Santa Fe Trl., Yucca Valley, CA 92284 | 2012-09-06 |
| 1497000137 | Angelique Eddins | Counselor | 55475 Sante Fe Trl., Yucca Valley, CA 92284-3117 | 2012-07-18 |
| 1114233863 | Theresa C. Chapman | Counselor | 58923 Business Center Dr., Suite E, Yucca Valley, CA 92284 | 2010-08-19 |
| 1124166343 | Neil J Brown | Counselor | 56357 Pima Trl, Children Crisis Response Team, Yucca Valley, CA 92284-3607 | 2007-02-01 |
| 1306983283 | Linda J Murphy | Counselor | 58945 Business Center Dr Ste D, Yucca Valley, CA 92284-7310 | 2007-01-31 |
| 1528683703 | Diego Alejandro Ramirez | Counselor | 58967 Business Center Dr, Yucca Valley, CA 92284-7308 | 2020-06-12 |
| 1346729316 | Yenny Sanchez | Counselor | 7281 Dumosa Ave Ste 4, Yucca Valley, CA 92284-3781 | 2018-08-10 |
| 1952823205 | Rosio Zaragoza Hernandez | Counselor | 58945 Business Center Dr Ste D, Yucca Valley, CA 92284-7310 | 2017-07-07 |
| Find all providers in YUCCA VALLEY | ||||
| City | YUCCA VALLEY |
| Zip Code | 92284 |
Please comment or provide details below to improve the information on AMANDA DAWN 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.