TIMOTHY LOU PETERSEN (NPI# 1275030892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275030892 |
| Entity Type | Individual |
| Full Name | TIMOTHY LOU PETERSEN |
| Credential | RN |
| Practice Address |
1836 South Ave La Crosse WI 54601-5429 |
| Mailing Address |
Gundersen Health System 1836 South Avenue La Crosse WI 54601 |
| Practice Telephone | 6087753969 |
| Mailing Telephone | 6087753969 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
83542-30 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891853453 | Timothy Dee Petersen | Chiropractor | 2351 Sunset Blvd, Ste 120, Rocklin, CA 95765 | 2006-12-05 |
| 1295737898 | Timothy J Petersen | Psychologist | 1 Bowdoin Sq, 7th Floor, Office 744, Boston, MA 02114-2927 | 2005-08-12 |
| 1609158369 | Timothy Daniel Petersen | Pharmacist | 2045 S I 75 Business Loop, Grayling, MI 49738-2039 | 2011-09-19 |
| 1639468887 | Timothy C Petersen | Internal Medicine | 100 Constitution Dr, Ste 217, Va Beach, VA 23462-6799 | 2011-03-28 |
| 1104070119 | Timothy Allen Petersen | Psychologist | 16055 Ventura Blvd, Suite 920, Encino, CA 91436-2601 | 2008-11-05 |
| Street Address |
1836 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304834 | Susan G Maclellan-tobert | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-05-24 |
| 1861099590 | Ellen Compton | Dietitian, Registered | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-10-06 |
| 1699382630 | Jedd Sebion | Pharmacist | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-09-24 |
| 1104436351 | Taryn Jean Simon | Speech-Language Pathologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-08-03 |
| 1497376438 | Eva Igler | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-30 |
| 1568083608 | Benjamin Haase Thompson | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-29 |
| 1316568736 | Eric Bobel | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-27 |
| 1134749708 | Kristin Danielle Heslep | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-23 |
| 1982224598 | Rebecca Stanek | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-23 |
| 1609496595 | Marie Gilberte Cineus | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340137 | Gina Kiefer | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-11-12 |
| 1841832821 | Raven Judy Tracey Gray | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-10-11 |
| 1396304432 | Lauri L Theisen | Registered Nurse | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-06-12 |
| 1922575620 | Barbara Kracklauer | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-10-31 |
| 1356832059 | Erica Gravos | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-05-29 |
| 1285123513 | Nancy Louise Warnken | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-05-02 |
| 1013414614 | Cassandra Braithwaite | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-04-10 |
| 1003313610 | Susan Carol Sorrentino | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-04-10 |
| 1083111868 | Paula Roxanne Skoy | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-04-09 |
| 1326544396 | Geri Lyn Mulliner | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-03-30 |
| Find all providers in LA CROSSE | ||||
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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.