LISA RENE PETERS


Address: 1793 13th St Se, Salem, OR 97302-2541
Phone: 5033628385

LISA RENE PETERS (NPI# 1366876724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366876724
Entity Type Individual
Full Name LISA RENE PETERS
Other Name LISA RENE GIEBLER
Credential NP-C
Practice Address 1793 13th St Se
Salem
OR 97302-2541
Practice Telephone 5033628385
Practice Fax Number 5033628435
Mailing Telephone 5033628385
Mailing Fax Number 5033628435
Enumeration Date 2013-08-21
Last Update Date 2015-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60452758 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
201401222NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
NP-1312A ID Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA PETERS

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1255642559 Lisa Peters Registered Nurse 965 E 56th St, Brooklyn, NY 11234-1703 2010-07-01
1881714293 Lisa M Peters Dentist 7521 W Sand Lake Rd, Orlando, FL 32819-5109 2007-03-30
1194194233 Lisa Mae Peters Counselor 235 S 3rd St, Shelton, WA 98584-2255 2015-09-18
1003158064 Lisa B Peters Pharmacist 6202 S 16th St, Phoenix, AZ 85042-4434 2013-03-18
1548524473 Lisa Ann Peters Case Manager/Care Coordinator 175 Arsenal St, Watertown, NY 13601-2522 2012-06-26
1073874582 Lisa A Peters Counselor 365 S Portage Path, Akron, OH 44320-2325 2012-05-31
1467726679 Lisa Peters Counselor 1301 Kalamath St, Denver, CO 80204-2526 2012-03-06
1255664660 Lisa Fern Peters Massage Therapist 156 Se 4th Ave., Hillsboro, OR 97123-4161 2009-09-16
1750561767 Lisa C Peters Counselor 336 S Main St Ste 2ca, Bel Air, MD 21014-3978 2007-11-07
1285834473 Lisa Arnelle Peters Audiologist 6565 N Charles St, Ppe Suite 601, Baltimore, MD 21204-6800 2007-07-25

Office Location

Street Address 1793 13TH ST SE
City SALEM
State OR
Zip Code 97302-2541

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215912712 Amy Gouley Physician Assistant 1793 13th St Se, Salem, OR 97302-2541 2005-12-07
1689275042 Lindsay Rae Fry Nurse Practitioner 1793 13th St Se, Salem, OR 97302-2541 2020-11-03
1265999338 Brolin Johnson Physician Assistant 1793 13th St Se, Salem, OR 97302-2541 2019-02-26
1023582673 Anna Delaine Dodd Nurse Practitioner 1793 13th St Se, Salem, OR 97302-2541 2019-01-16
1225532211 Lauren Gene Williams Nurse Practitioner 1793 13th St Se, Salem, OR 97302-2541 2018-03-22
1497270268 Jennifer Robin Smith Nurse Practitioner 1793 13th St Se, Salem, OR 97302-2541 2017-08-13
1700311974 Kelsey Ferrell Dermatology 1793 13th St Se, Salem, OR 97302 2017-04-25
1972048700 Elizabeth Schmidt Physician Assistant 1793 13th St Se, Salem, OR 97302-2541 2017-01-03
1720436397 Allison Stoecker Dermatology 1793 13th St Se, Salem, OR 97302-2541 2016-05-24
1346610201 Charity Capuras Nurse Practitioner 1793 13th St Se, Salem, OR 97302-2541 2015-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285247908 Tracy Jean Payton Nurse Practitioner 3898 Lee Road 250, Salem, AL 36874-1450 2020-08-24
1437775137 Krista Michelle Brinkerhoff Nurse Practitioner 636 N 220 E, Salem, UT 84653-5553 2020-06-18
1851913271 Rossiel Pita-roman Nurse Practitioner 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 2020-05-07
1487292157 Kelly Daily Morris Nurse Practitioner 5915 Port Stewart Ct Se, Salem, OR 97306-9034 2019-12-12
1174087985 Brenda Gott Nurse Practitioner 3103 Hh Highway, Salem, MO 65560 2019-01-25
1992277594 Shelisa Rena Taylor Nurse Practitioner 1126 Lee Road 250, Salem, AL 36874-1373 2018-12-19
1811472426 Kathryn B Powell Nurse Practitioner 400 Highland Ave Ste 1, Salem, MA 01970-1783 2018-09-28
1609367077 Jennifer Turner Nurse Practitioner 225 Sunbridge Drive, Salem, WV 26426 2018-05-22
1174042535 Elizabeth Keane Nurse Practitioner 9 Riverbank Rd, Salem, MA 01970-5311 2017-09-15
1346766292 Scott Adam Pasquale Nurse Practitioner 331r Highland Ave, Salem, MA 01970-1738 2017-08-22
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Competitor

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City SALEM
Zip Code 97302

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Dataset Information

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.

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