MRS. LISA MAE PETERS (NPI# 1194194233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194194233 |
| Entity Type | Individual |
| Full Name | MRS. LISA MAE PETERS |
| Credential | CP60535132 |
| Practice Address |
235 S 3rd St Shelton WA 98584-2255 |
| Mailing Address |
1721 Laurel St Shelton WA 98584-2151 |
| Practice Telephone | 3604260890 |
| Practice Fax Number | 3604264688 |
| Mailing Telephone | 3604902181 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2019-08-30 |
| 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) |
CP60535132 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1721 Laurel St, Shelton, WA 985842151 | 3604902181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255642559 | Lisa Peters | Registered Nurse | 965 E 56th St, Brooklyn, NY 11234-1703 | 2010-07-01 |
| 1881714293 | Lisa M Peters | Dentist | 7521 W Sand Lake Rd, Orlando, FL 32819-5109 | 2007-03-30 |
| 1366876724 | Lisa Rene Peters | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2013-08-21 |
| 1003158064 | Lisa B Peters | Pharmacist | 6202 S 16th St, Phoenix, AZ 85042-4434 | 2013-03-18 |
| 1548524473 | Lisa Ann Peters | Case Manager/Care Coordinator | 175 Arsenal St, Watertown, NY 13601-2522 | 2012-06-26 |
| 1073874582 | Lisa A Peters | Counselor | 365 S Portage Path, Akron, OH 44320-2325 | 2012-05-31 |
| 1467726679 | Lisa Peters | Counselor | 1301 Kalamath St, Denver, CO 80204-2526 | 2012-03-06 |
| 1255664660 | Lisa Fern Peters | Massage Therapist | 156 Se 4th Ave., Hillsboro, OR 97123-4161 | 2009-09-16 |
| 1750561767 | Lisa C Peters | Counselor | 336 S Main St Ste 2ca, Bel Air, MD 21014-3978 | 2007-11-07 |
| 1285834473 | Lisa Arnelle Peters | Audiologist | 6565 N Charles St, Ppe Suite 601, Baltimore, MD 21204-6800 | 2007-07-25 |
| Street Address |
235 S 3RD ST |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073821575 | Randall Fred Beaver | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2010-09-17 |
| 1659920007 | Natalie Caroline Callely | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2019-09-09 |
| 1437706686 | Shera Jean Clark | Case Management | 235 S 3rd St, Shelton, WA 98584-2255 | 2019-08-22 |
| 1265089973 | Jeff Clinton Grant | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2019-08-19 |
| 1790344778 | Chelsea Nicole Neff | Peer Specialist | 235 S 3rd St, Shelton, WA 98584-2255 | 2019-06-12 |
| 1942869938 | Dilma Lizet Demartino | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2019-06-12 |
| 1982176574 | Bernadine Lee Knutz | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2018-12-20 |
| 1023589306 | Lisa Hammond | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2018-12-11 |
| 1639617541 | Damon Allen Stricklett | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2017-02-10 |
| 1760920664 | David Jensen | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787710 | Amanda Porto | Counselor | 3737 N Shelton Springs Rd, Shelton, WA 98584-9105 | 2018-04-17 |
| 1184085987 | Tammy Kindle | Counselor | 1635 Jackson St, Shelton, WA 98584-3031 | 2016-03-08 |
| 1043682602 | Cornelia Morris | Counselor | 12 Crescent St, Shelton, CT 06484-4103 | 2015-10-22 |
| 1922230242 | Jennifer L Davenport | Counselor | 2120 Adams St, Shelton, WA 98584-2902 | 2009-08-20 |
| 1700020534 | June Obrien | Counselor | 81 Se Paulcyn Ln, Shelton, WA 98584-9378 | 2009-04-23 |
| 1083862197 | Jennifer Lynn Ryan | Counselor | 30 Controls Drive, Suite 10, Shelton, CT 06484-5434 | 2008-09-03 |
| 1396918116 | Karen Howell Shephard | Counselor | 443 W Insels Rd, Shelton, WA 98584-7819 | 2008-04-13 |
| 1528264561 | Skokomish Indian Nation | Counselor | N 561 Tribal Center Rd, Shelton, WA 98584 | 2007-06-26 |
| 1083789317 | Lorraine M Coakley | Counselor | 273 Sunwood Drive, Shelton, CT 06484 | 2006-11-21 |
| 1245846252 | Judalyn Evette Gill | Counselor | 506 W Franklin St, Shelton, WA 98584-3517 | 2020-09-16 |
| Find all providers in SHELTON | ||||
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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.