STEPHANIE MT PETERSON (NPI# 1205497534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205497534 |
| Entity Type | Individual |
| Full Name | STEPHANIE MT PETERSON |
| Credential | RN |
| Practice Address |
1401 Okeeffe Ave Apt 313 Sun Prairie WI 53590-7072 |
| Practice Telephone | 7153400221 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 228597 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821514860 | Stephanie Leigh Peterson | Physical Therapist | 1029 Powderhorn Rd, Simpsonville, SC 29681-3379 | 2017-08-22 |
| 1992256788 | Stephanie Peterson | Physical Therapy Assistant | 3505 County Road Y, Sheboygan, WI 53083-2400 | 2016-10-17 |
| 1912257130 | Stephanie Marie Peterson | Behavioral Analyst | 11583 S. 8th St., Schoolcraft, MI 49087 | 2012-09-14 |
| 1275841462 | Stephanie J Peterson | Massage Therapist | 45 Alabama Rd N Ste 1, Lehigh Acres, FL 33936-6829 | 2010-09-22 |
| 1073753240 | Stephanie Peterson | Nurse Practitioner | 716 Waverly St Unit B, Houston, TX 77007-1407 | 2009-03-02 |
| 1518515022 | Stephanie Peterson | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-08-28 |
| 1578118105 | Stephanie Peterson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-08-09 |
| 1700431590 | Stephanie Kay Peterson | Nurse Practitioner | 4885 Eldorado Pkwy, Frisco, TX 75033-8662 | 2019-08-08 |
| 1033672621 | Stephanie Slorahn Peterson | Social Worker | 69 Bay Bridge Dr Ste G, Gulf Breeze, FL 32561-4468 | 2019-04-10 |
| 1205316106 | Stephanie Grace Peterson | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2018-08-20 |
| Street Address |
1401 OKEEFFE AVE APT 313 |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-7072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385066 | Amanda Vicente | Registered Nurse | 1720 Tam O Shanter Trl, Sun Prairie, WI 53590-9517 | 2020-01-22 |
| 1134688864 | Kecha Wallace | Registered Nurse | 885 Robin Dr, Sun Prairie, WI 53590-3319 | 2019-03-12 |
| 1962988873 | Roxana Koren Graf | Registered Nurse | 1823 Wallinford Dr, Sun Prairie, WI 53590-3511 | 2018-07-13 |
| 1265933923 | Xe Yang | Registered Nurse | 818 Wilson St, Sun Prairie, WI 53590-2011 | 2018-02-27 |
| 1720523152 | Jodie Henning | Registered Nurse | 3028 Providence St, Sun Prairie, WI 53590-4585 | 2016-12-20 |
| 1538512108 | Habibou Camara | Registered Nurse | 231 Talon Pl, Sun Prairie, WI 53590-3215 | 2016-07-19 |
| 1689055071 | Samia George-pratt | Registered Nurse | 300 Shane Ct Apt 3, Sun Prairie, WI 53590-2752 | 2015-06-11 |
| 1831590116 | Gail Popelka | Registered Nurse | 2560 New Town Dr Apt 403, Sun Prairie, WI 53590-7079 | 2014-09-05 |
| 1225449556 | Kelly Landphier | Registered Nurse | 865 Garden Dr Apt 116, Sun Prairie, WI 53590-4183 | 2014-05-08 |
| 1265857619 | Denise Luxford | Registered Nurse | 1341 Swordleaf Ln, Sun Prairie, WI 53590-4319 | 2014-02-21 |
| Find all providers in SUN PRAIRIE | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
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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.