SALLIE PETERS (NPI# 1396158192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396158192 |
| Entity Type | Individual |
| Full Name | SALLIE PETERS |
| Credential | PA |
| Practice Address |
500 W 144th Ave Ste 230 Westminster CO 80023-9328 |
| Mailing Address |
3455 Lutheran Pkwy Ste 105 Wheat Ridge CO 80033-6028 |
| Practice Telephone | 3036652603 |
| Practice Fax Number | 3036652605 |
| Mailing Telephone | 3036652603 |
| Mailing Fax Number | 3036652605 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Health Park Dr, Suite 230, Louisville, CO 800279584 | 3036652603 | 3036652605 |
| 3455 Lutheran Pkwy Ste 105, Wheat Ridge, CO 800336028 | 3036652603 | 3036652605 |
| Street Address |
500 W 144TH AVE STE 230 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80023-9328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917877 | David M Bierbrauer | Orthopaedic Surgery | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2006-01-19 |
| 1518582352 | Bianca Marie Seivley | Orthopaedic Surgery | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2020-06-08 |
| 1134767163 | Korina Lynn Tinkham | Physical Therapy Assistant | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2019-12-20 |
| 1851856348 | Elizabeth Dirks | Physical Therapy Assistant | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2019-02-08 |
| 1689140071 | Alexander Holdren | Physical Therapist | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2018-10-23 |
| 1912428392 | Emily Power | Physical Therapist | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2017-07-06 |
| 1144777822 | Paige Narum | Physician Assistant | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2016-09-09 |
| 1063864684 | Calvin Cook | Physical Therapist | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2016-07-07 |
| 1962853051 | Alexander Wolfe I | Physical Therapist | 500 W 144th Ave Ste 230, Westminster, CO 80023 | 2016-06-29 |
| 1639543317 | Michelle Amanda Althouse | Physician Assistant | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2015-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
| 1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
| 1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
| 1104387810 | Daniel Ojala | Student in an Organized Health Care Education/Training Program | 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 | 2019-03-26 |
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1689122467 | Jane Vela | Physical Therapist | 14866 Falcon Drive, Broomfield, CO 80023 | 2016-09-21 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
| 1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
| Find all providers in zip 80023 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023145174 | Matthew J Vanersvelde | Physician Assistant | 9505 Carr St, Westminster, CO 80021-4352 | 2007-02-27 |
| 1942548359 | Kathryn Lewis Smith | Physician Assistant | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2013-01-18 |
| 1568796662 | Anela Michelle Collazo | Physician Assistant | 844 Washington Rd, Suite 102, Westminster, MD 21157-6664 | 2009-09-23 |
| 1134130396 | Wendy L Kenner | Physician Assistant | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2006-08-11 |
| 1194786186 | Mary Beth Lennox Mendoza | Physician Assistant | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 80023 |
Please comment or provide details below to improve the information on SALLIE PETERS.
| 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.