KELLY PETERS (NPI# 1144666793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144666793 |
Entity Type | Individual |
Full Name | KELLY PETERS |
Credential | PA-C |
Practice Address |
4031 W Plano Pkwy Suite 100 Plano TX 75093-5619 |
Practice Telephone | 9729851072 |
Practice Fax Number | 9725969382 |
Mailing Telephone | 9729851072 |
Mailing Fax Number | 9725969382 |
Enumeration Date | 2013-05-21 |
Last Update Date | 2015-08-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA08226 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174754261 | Kelly A Peters | Speech-Language Pathologist | 1579 E 85th Ave, Merrillville, IN 46410-8901 | 2009-08-06 |
1861423303 | Kelly Ann Peters | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387 | 2006-07-05 |
1225091788 | Kelly Ann Peters | Physician Assistant | 10103 Ridgegate Pkwy 312, Lone Tree, CO 80124-5525 | 2006-04-07 |
1417430935 | Kelly Lee Peters | Nurse Practitioner | 4311 Wesley St, Greenville, TX 75401-5639 | 2018-09-11 |
1740778117 | Kelly Peters | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2018-05-01 |
1245699370 | Kelly Peters | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2016-02-17 |
1982060265 | Kelly Peters | Registered Nurse | 6205 Dominion Dr, Madison, WI 53718-3124 | 2016-01-03 |
1407236581 | Kelly Peters | Counselor | 6060 Ridge Ave, Suite 210, Philadelphia, PA 19128-1657 | 2015-06-04 |
1003155987 | Kelly Peters | Occupational Therapist | 8 5th St Se, Watertown, SD 57201-3713 | 2013-02-12 |
1790041481 | Kelly Peters | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2012-04-06 |
Street Address |
4031 W PLANO PKWY SUITE 100 |
City | PLANO |
State | TX |
Zip Code | 75093-5619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851384077 | Alexander I Glogau | Orthopaedic Surgery | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5617 | 2005-08-23 |
1750934261 | Michelle Taylor | Physician Assistant | 4031 W Plano Pkwy, Plano, TX 75093-5619 | 2019-07-23 |
1467997627 | Family and Child Guidance Center | Counselor | 4031 W Plano Pkwy, Suite 211, Plano, TX 75093-5619 | 2016-12-27 |
1184169351 | Jacqueline Ann Romanies | Chiropractor | 4031 W Plano Pkwy, Suite 201, Plano, TX 75093-5619 | 2016-12-27 |
1558790139 | Brent Sather | Chiropractor | 4031 W Plano Pkwy, Plano, TX 75093-5619 | 2013-11-05 |
1821427725 | Morgan B Howard | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-11-01 |
1174964241 | Hoic Enterprises LLC | Pharmacy | 4031 W Plano Pkwy, Suite 211, Plano, TX 75093-5619 | 2013-07-17 |
1851638126 | Jake H Kreck | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-01-07 |
1124382429 | Anne Marie Howell | Counselor | 4031 W Plano Pkwy, Ste 211, Plano, TX 75093-5619 | 2012-07-02 |
1689940090 | Jennifer Spencer Odom | Counselor | 4031 W Plano Pkwy, Plano, TX 75093-5619 | 2012-03-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508472697 | Amna Dhanani | Physician Assistant | 2100 Hedgcoxe Rd Ste 140, Plano, TX 75025-3100 | 2020-09-23 |
1538717582 | Jenna Kelly | Physician Assistant | 3408 Walington Dr, Plano, TX 75093-7447 | 2019-09-03 |
1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
1275199002 | The Kim Tran | Physician Assistant | 6130 W Parker Rd Ste 103, Plano, TX 75093-7910 | 2019-05-16 |
1619433315 | Jennifer Perez | Physician Assistant | 1700 Alma Dr Ste 450, Plano, TX 75075-6986 | 2019-02-18 |
1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
1821567678 | Collaborative Surgical Services, Pllc | Physician Assistant | 2024 W 15th St Ste F #328, Plano, TX 75075-7364 | 2018-11-21 |
1528540366 | Christen Leah Reamy | Physician Assistant | 3809 W 15th St Ste A, Plano, TX 75075-7765 | 2018-08-29 |
1568965051 | Vital Assistance, Pllc | Physician Assistant | 2024 W 15th St Ste F # 327, Plano, TX 75075-7364 | 2018-03-12 |
1609313139 | Kristen Ann Walls | Physician Assistant | 4001 W 15th St Ste 100, Plano, TX 75093-5837 | 2017-01-23 |
Find all providers in PLANO |
Please comment or provide details below to improve the information on KELLY 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.