CAITLIN PETERSON (NPI# 1396240586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396240586 |
| Entity Type | Individual |
| Full Name | CAITLIN PETERSON |
| Practice Address |
4701 Montgomery Blvd Ne Albuquerque NM 87109-1219 |
| Practice Telephone | 5057277022 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-1196 | NM | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1528621356 | Caitlin Peterson | Counselor | 320 S Spruce St, Kenai, AK 99611-7939 | 2019-04-17 |
| 1568977957 | Caitlin Marie Peterson | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2017-12-06 |
| 1376093450 | Caitlin Peterson | Specialist/Technologist | 2646 Patterson Rd Ste A, Grand Junction, CO 81506-1941 | 2016-10-12 |
| 1467881680 | Caitlin Peterson | Social Worker | 155 Chestnut St, Nutley, NJ 07110-2311 | 2013-11-07 |
| 1760742530 | Caitlin Gannon Peterson | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-05-25 |
| Street Address |
4701 MONTGOMERY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245213750 | Sheridan Children Healthcare Services of New Mexico Inc | Pediatrics | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2005-11-29 |
| 1831705094 | Rachel Leanne Garcia | Midwife | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-09-22 |
| 1184236523 | Chanae D Esquibel | Physical Therapist | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-08-18 |
| 1841816170 | Chitose Hanert | Occupational Therapist | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-06-23 |
| 1295350098 | Kerry Elizabeth Trautwein | Occupational Therapist | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-06-08 |
| 1669007332 | Rachel Henderson | Registered Nurse | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-03-03 |
| 1578106829 | Nicole Lerma Hadley | Physical Therapy Assistant | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2019-10-18 |
| 1902463524 | David Bowers | Physical Therapy Assistant | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2019-05-20 |
| 1376109181 | Kanna Shepherd | Occupational Therapist | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2019-05-16 |
| 1295220457 | Rebecca Echols | Nurse Practitioner | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237075 | Kelly Ann Gardiner | Dietitian, Registered | 9123 Retablo Rd Nw, Albuquerque, NM 87120-7138 | 2020-08-28 |
| 1356954929 | Hannah Contrucci | Dietitian, Registered | 2920 Carlisle Blvd Ne Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
| 1083227656 | Advanced Nutrition Services, LLC | Dietitian, Registered | 2920 Carlisle Blvd Ne, Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
| 1417575267 | Valerie Silver | Dietitian, Registered | 6225 Hannett Ave Ne, Albuquerque, NM 87110-5918 | 2020-07-08 |
| 1295350346 | Amanda Montano | Dietitian, Registered | 9928 Cielito Norte Way Ne, Albuquerque, NM 87122-3222 | 2020-06-15 |
| 1457974420 | Juliet Corley | Dietitian, Registered | 926 Madeira Dr Se, Albuquerque, NM 87108-3618 | 2020-05-25 |
| 1205459740 | Haley Snell-sparapany | Dietitian, Registered | 1520 Tramway Blvd Ne, Albuquerque, NM 87112-4655 | 2020-05-19 |
| 1689294829 | Jennifer K Jackson | Dietitian, Registered | 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 | 2020-04-17 |
| 1265063424 | Adam Hillman | Dietitian, Registered | 808 Cardenas Dr Ne, Albuquerque, NM 87108-1718 | 2020-01-27 |
| 1962040683 | Kristyn Lenore Bawol | Dietitian, Registered | 1501 San Pedro Dr Se Rm 1047, Albuquerque, NM 87108-5180 | 2019-12-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.