KINDRA DAWN PETERSON (NPI# 1295297794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295297794 |
| Entity Type | Individual |
| Full Name | KINDRA DAWN PETERSON |
| Credential | QMHA |
| Practice Address |
700 Walter Street Sp. 21 Enterprise OR 97828 |
| Mailing Address |
Po Box 268 Enterprise OR 97828-0268 |
| Practice Telephone | 5413981166 |
| Mailing Telephone | 5414264524 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356648695 | Kindra Sue Peterson | Dietitian, Registered | 8880 E Desert Cove Ave, Scottsdale, AZ 85260-6746 | 2011-02-23 |
| Street Address |
700 WALTER STREET SP. 21 |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
| 1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
| 1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
| 1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
| 1871503748 | Kristell Marie Wade | Registered Nurse | 604 Medical Parkway, Enterprise, OR 97828 | 2006-08-09 |
| Find all providers in zip 97828 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1568063931 | Andrea Rene Mitchell | Case Manager/Care Coordinator | 103 Highway 82, Enterprise, OR 97828-6011 | 2020-11-03 |
| 1043839053 | William C Weisz | Case Manager/Care Coordinator | 301 W Main St, Enterprise, OR 97828-1245 | 2020-04-09 |
| 1285261149 | Kimberly Kay Botts | Case Manager/Care Coordinator | 103 Highway 82, Enterprise, OR 97828-6011 | 2020-03-23 |
| 1376173450 | Alphonza Bernard Bush Jr. | Case Manager/Care Coordinator | 51 Childrens Way, Enterprise, FL 32725-8135 | 2020-01-17 |
| 1467006668 | Wallowa Valley Center for Wellness | Case Manager/Care Coordinator | 301 W Main St, Enterprise, OR 97828-1245 | 2019-07-26 |
| 1922651132 | Elizabeth A Casebourn | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-17 |
| 1255983243 | Kate Forster | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-10 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
Please comment or provide details below to improve the information on KINDRA DAWN PETERSON.
| 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.