MICHELE M PETERS (NPI# 1316965502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316965502 |
Entity Type | Individual |
Full Name | MICHELE M PETERS |
Credential | FNP |
Practice Address |
240 S Montezuma St Prescott AZ 86303-4712 |
Mailing Address |
561 S Walnut Cove Trl Prescott AZ 86303-5921 |
Practice Telephone | 9288301717 |
Practice Fax Number | 8778353579 |
Mailing Telephone | 9288301717 |
Mailing Fax Number | 8778353579 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2019-12-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP1836 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | CIGNA PPO | 2297001(001) | 01 |
AZ | CIGNA HMO | 2297001(002) | 01 |
AZ | BCBS OF AZ | AZ0148050 | 01 |
AZ | AETNA | 7759594 | 01 |
AZ | 823147001 | 05 | |
AZ | 823147002 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871647321 | Michele Gail Peters | Speech-Language Pathologist | 3264 County Road 316, Cape Girardeau, MO 63701-9122 | 2007-01-22 |
1124469572 | Michele M Peters | Dietitian, Registered | 130 Maple Ave, Suite 7a, Red Bank, NJ 07701-1734 | 2013-07-15 |
Street Address |
240 S MONTEZUMA ST |
City | PRESCOTT |
State | AZ |
Zip Code | 86303-4712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013546530 | Counselors On Call LLC | Community/Behavioral Health | 240 S Montezuma St, Prescott, AZ 86303-4712 | 2020-04-06 |
1558896746 | Selah Care, Inc | Preferred Provider Organization | 240 S Montezuma St, Suite 206, Prescott, AZ 86303-4712 | 2017-04-25 |
1578826517 | Dual Recovery Solutions LLC | Community/Behavioral Health | 240 S Montezuma St, Suite 201, Prescott, AZ 86303-4712 | 2012-06-22 |
1346466422 | Laurie Alice Tetreault | Marriage & Family Therapist | 240 S Montezuma St, Ste. 104, Prescott, AZ 86303-4712 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
Find all providers in zip 86303 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336757731 | Dionne Louise Shy | Nurse Practitioner | 939 Juanita Ter, Prescott, AZ 86303-3541 | 2020-07-21 |
1659851046 | Michael Berlowe | Nurse Practitioner | 306 N Virginia St, Prescott, AZ 86301-2634 | 2018-08-15 |
1760996276 | Melanie Lynn Hearnsberger Mcguire | Nurse Practitioner | 234 Nevada 222 E, Prescott, AR 71857-8101 | 2017-11-20 |
1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
1265958755 | Prescott Family Practice and Wellness, LLC | Nurse Practitioner | 1151 W Iron Springs Rd Ste F, Prescott, AZ 86305-1614 | 2017-08-16 |
1073067195 | Arrow Housecall | Nurse Practitioner | 1797 N Lapis Dr, Prescott, AZ 86301-5972 | 2016-08-05 |
1326431214 | Helen Betito Paslay | Nurse Practitioner | 3110 Clearwater Dr Ste B, Prescott, AZ 86305-7177 | 2015-03-16 |
1992116446 | Teri Sweginnis | Nurse Practitioner | 1602 Barmar Ln, Prescott, AZ 86301-1266 | 2014-05-17 |
1013330448 | Atlas Health Assessment LLC | Nurse Practitioner | 969 W Gurley St, Prescott, AZ 86305-2817 | 2014-01-21 |
1073866406 | Thomas Judah Gann | Nurse Practitioner | 3625 Crossings Dr, Prescott, AZ 86305-7159 | 2012-10-23 |
Find all providers in PRESCOTT |
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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.