LAUREN PETERSON (NPI# 1326430661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326430661 |
| Entity Type | Individual |
| Full Name | LAUREN PETERSON |
| Credential | PA-C |
| Practice Address |
409 Dunlap St N Saint Paul MN 55104-4201 |
| Mailing Address |
1021 Roma Ave Roseville MN 55113-6527 |
| Practice Telephone | 6512909200 |
| Mailing Telephone | 7754503000 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11788 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082345 | Lauren Peterson | Counselor | 4030 4th Street A, East Moline, IL 61244-3442 | 2020-04-21 |
| 1538591649 | Lauren Collier Peterson | Physical Therapist | 7415 N May Ave, Oklahoma City, OK 73116 | 2013-07-31 |
| 1669490140 | Lauren L Peterson Jr. | Nurse Anesthetist, Certified Registered | 7764 Forest Creek Ct, Maumee, OH 43537-9140 | 2006-07-17 |
| 1760009039 | Lauren L Peterson | Pharmacist | 8039 Frankford Ave, Philadelphia, PA 19136-2736 | 2020-07-02 |
| 1316570369 | Lauren Elizabeth Peterson | Psychologist | 52 Oak St, Middleboro, MA 02346-2078 | 2020-02-18 |
| 1245871920 | Lauren Helen Peterson | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2019-10-03 |
| 1891353223 | Lauren Peterson | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2019-05-31 |
| 1740734359 | Lauren Peterson | Speech-Language Pathologist | 709 Crescent Cir, Canton, GA 30115-4772 | 2016-08-11 |
| 1043658032 | Lauren Peterson | Case Manager/Care Coordinator | 3717 Taylorsville Rd, 1st Floor, Louisville, KY 40220-1333 | 2013-06-12 |
| 1689939514 | Lauren B Peterson | Psychologist | 105 Clover Dr, Pupil Personnel Services, Great Neck Public Schools, Great Neck, NY 11021-1031 | 2012-07-06 |
| Street Address |
409 DUNLAP ST N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326048604 | Todd Alan Volk | Chiropractor | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2005-07-28 |
| 1093359457 | Jill Allyne Helgemoe | Marriage & Family Therapist | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2019-10-29 |
| 1689154429 | Kaitlyn Huebsch Hollenbach | Optometrist | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2018-08-21 |
| 1770098550 | Millie Ann Slabber | Dental Hygienist | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2017-12-03 |
| 1558736843 | Ijeoma Ogbonnaya | Nurse Practitioner | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2015-12-11 |
| 1942673447 | Ogbitse Maureen Atake | Nurse Practitioner | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2015-11-05 |
| 1487034625 | Madeline Young | Dietitian, Registered | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2015-06-03 |
| 1114305927 | Cynthia Woods | Internal Medicine | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2015-05-12 |
| 1467854216 | Sagal Nur | Dentist | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2014-09-24 |
| 1245644590 | Laura Wild | Dentist | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2014-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1679107841 | Kelsey Locken | Physician Assistant | 2285 University Ave W Unit 161, Saint Paul, MN 55114-1645 | 2020-02-26 |
| 1497395719 | Demitri Nichelle Gockel | Physician Assistant | 750 Otto Ave Unit 2242, Saint Paul, MN 55102-5042 | 2020-01-14 |
| 1245870203 | Ashley Kay Warner | Physician Assistant | 640 Jackson St # 11102f, Saint Paul, MN 55101-2595 | 2020-01-07 |
| 1275171795 | Keith Fertey Moy | Physician Assistant | 594 Montrose Ln, Saint Paul, MN 55116-1158 | 2019-12-16 |
| 1609417757 | Mh 101, PC | Physician Assistant | 1999 Shepard Rd, Saint Paul, MN 55116-3210 | 2019-09-30 |
| 1760048946 | Amity Alice Carlson | Physician Assistant | 1600 University Ave W Ste 205, Saint Paul, MN 55104-3825 | 2019-05-14 |
| 1740747872 | Angela Marie Schlangen | Physician Assistant | 435 Phalen Blvd., Mail Stop 51103c, Saint Paul, MN 55130-5302 | 2019-02-25 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1649720533 | Jeffrey Charles Otis | Physician Assistant | 405 Nebraska Ave E, Saint Paul, MN 55130-3226 | 2016-10-04 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.