KELLY PETERS


Address: 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619
Phone: 9729851072

KELLY PETERS (NPI# 1144666793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA08226 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY PETERS

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

Office Location

Street Address 4031 W PLANO PKWY
SUITE 100
City PLANO
State TX
Zip Code 75093-5619

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PLANO
Zip Code 75093

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Dataset Information

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.

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