SUSAN MARGARET PETERSON


Address: J457 Kentucky Clinic, 740 South Limestone St, Lexington, KY 40536-0284
Phone: 8592576033

SUSAN MARGARET PETERSON (NPI# 1396738803) 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) 1396738803
Entity Type Individual
Full Name SUSAN MARGARET PETERSON
Credential ARNP
Practice Address J457 Kentucky Clinic
740 South Limestone St
Lexington
KY 40536-0284
Mailing Address 3202 Montavesta Rd
Lexington
KY 40502-3510
Practice Telephone 8592576033
Practice Fax Number 8592579822
Mailing Telephone 8592692753
Mailing Fax Number 8592579822
Enumeration Date 2005-08-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2770P KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 78005675 05

Other Providers SUSAN PETERSON

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1801378021 Susan Nell Peterson Speech-Language Pathologist 1045 18th St Sw, Huron, SD 57350-3464 2018-09-04
1366709750 Susan Harper Peterson Counselor 1560 Olympia Cir, #103, Castle Rock, CO 80104-5464 2012-04-23
1972819712 Susan Karen Peterson Dietitian, Registered 3965 Crystal Lake Trl, Faribault, MN 55021-7974 2010-08-30
1255475166 Susan Peterson Psychologist 924 Old Harmony Rd, Suite 201, Newark, DE 19713-4184 2007-02-16
1922178839 Susan F Peterson Respiratory Therapist, Registered 61 Broad Reach, T114-b, North Weymouth, MA 02191-2229 2006-11-08
1104908540 Susan Peterson Physical Therapist 134 Drury Dr, La Plata, MD 20646-4241 2006-10-19
1013014349 Susan K. Peterson Social Worker 1513 25th Ave, Seattle, WA 98122-3017 2006-09-20
1497860480 Susan A Peterson Occupational Therapist 13253 E Playfield Dr, Crestwood, IL 60445 2006-08-20
1003854217 Susan Mary Peterson Registered Nurse 20600 Milton Ct, Brookfield, WI 53045-4020 2006-06-02
1902802382 Susan Jane Peterson Registered Nurse 19555 E Parker Square Dr, Ste 215, Parker, CO 80134-7304 2005-06-22

Office Location

Street Address J457 KENTUCKY CLINIC
740 SOUTH LIMESTONE ST
City LEXINGTON
State KY
Zip Code 40536-0284

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1598389421 Storm Bryant Dutton Physician Assistant Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 2020-06-06
1720601545 Tyler Allen Pape Physician Assistant Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 2020-05-27
1417579269 Kacy Clinkenbeard Physician Assistant Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 2020-05-15
1023578804 William Chalmers Ruffin Student in an Organized Health Care Education/Training Program 740 South Limestone St. E300e, Lexington, KY 40536 2019-03-20
1942705728 Karah Lee Ellen Brown Dentist 800 Rose Street, Room D-508, Lexington, KY 40536 2018-03-26
1982109708 Khader Samir Habash Dentist 740 S Limestone Room A262, Lexington, KY 40536 2018-03-25
1609370683 Casey Michael Fitzgerald Otolaryngology 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 2018-03-22
1538663992 Heather Oaks Nurse Practitioner Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 2018-03-21
1396268223 Prasanna Kumar Gangishetti Pediatrics 800 Rose St Rm No Mn-118, Lexington, KY 40536 2017-07-23
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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
1184225161 Christina Chan Sok Nurse Practitioner 24 Hartwell Ave # 204, Lexington, MA 02421-3132 2020-11-05
1871194381 Stacie Rose Nurse Practitioner 131 Hartwell Ave, Lexington, MA 02421-3105 2020-11-03
1952900870 Sarah Elizabeth Clark Nurse Practitioner 1309 Morning Side Ct, Lexington, KY 40509-2353 2020-10-21
1629677745 Lisa Elaine Coleman Nurse Practitioner 2241 Gulfstream Dr, Lexington, KY 40504-3273 2020-10-20
1578161303 Mariem Kader Nurse Practitioner 3622 White Pine Dr, Lexington, KY 40514-1740 2020-10-14
1023616125 Kimberly Dawn Calloway Nurse Practitioner 5306 E Blocher Rd, Lexington, IN 47138-8803 2020-10-12
1649878992 Margaret Bunch Nurse Practitioner 171 W Lowry Ln Ste 132, Lexington, KY 40503-3006 2020-10-09
1831701572 Jillian Leigh Butcher Nurse Practitioner 2917 Mahala Ln, Lexington, KY 40509-8555 2020-08-22
1033721154 Heart Rescue Cpr LLC Nurse Practitioner 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 2020-08-19
1619588241 Jordyn L Bush Nurse Practitioner 124 Clay Ave, Lexington, KY 40502-1702 2020-08-17
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Competitor

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City LEXINGTON
Zip Code 40536

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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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