KATIE PETERSON (NPI# 1477886323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477886323 |
| Entity Type | Individual |
| Full Name | KATIE PETERSON |
| Practice Address |
17521 93rd Pl N Maple Grove MN 55311-4437 |
| Practice Telephone | 7635777179 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780121152 | Katie Marie Peterson | Dietitian, Registered | 1161 Chestnut Cove Rd, Sylva, NC 28779-7246 | 2017-01-24 |
| 1821399338 | Katie J Peterson | Physical Therapist | 1443 Ashbury Ln W, Roselle, IL 60172-4703 | 2010-11-15 |
| 1528119906 | Katie Lynne Peterson | Specialist/Technologist | 3151 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2007-01-14 |
| 1477076073 | Katie Peterson | Nurse Practitioner | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2017-07-25 |
| 1235589672 | Katie Peterson | Physical Therapist | 1703 W Stones Crossing Rd Ste 120, Greenwood, IN 46143 | 2016-06-16 |
| 1881065647 | Katie Van Hoof Peterson | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-19 |
| 1508265331 | Katie Marie Peterson | Nurse Practitioner | 3931 Louisiana Ave S, Suite E202, Saint Louis Park, MN 55426-5000 | 2014-08-18 |
| 1295176063 | Katie E Peterson | Advanced Practice Midwife | 5 Tampa General Circle, Suite 240, Tampa, FL 33606 | 2013-07-09 |
| 1033471263 | Katie Dawn Peterson | Dentist | 920 N Main St, Mountain Grove, MO 65711-1315 | 2012-06-13 |
| 1154680569 | Katie Beth Peterson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2012-05-07 |
| Street Address |
17521 93RD PL N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55311-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391374 | Deborah Lynn Higgins | Foster Care Agency | 8288 Revelwood Place, Maple Grove, MN 55311 | 2017-08-03 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1033571062 | Iman Dadras Konestani | Marriage & Family Therapist | 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 | 2016-03-29 |
| 1902272685 | Todd Archbold | Social Worker | 18153 80th Pl N, Maple Grove, MN 55311 | 2015-08-17 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1962670026 | Helminger Chiropractic, P.a. | Chiropractor | 9479 Garland Lane North, Maple Grove, MN 55311 | 2008-02-12 |
| 1457579450 | Cynthia C Cassel | Physician Assistant | 6300 Wedgewood Way, Maple Grove, MN 55311 | 2007-04-23 |
| 1386860732 | Thomas Triden | Chiropractor | 7494 East Fish Lake Road, Maple Grove, MN 55311 | 2007-04-17 |
| Find all providers in zip 55311 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316995715 | Tobie J. Meyer | Physician Assistant | 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 | 2006-05-05 |
| 1942605951 | Bridget Kosak | Physician Assistant | 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 | 2014-11-03 |
| 1477966349 | Caitlin Sue Burk | Physician Assistant | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2014-06-08 |
| 1851405070 | Anne Casimir-rosario | Physician Assistant | 9555 Upland Ln N, Maple Grove, MN 55369-4485 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55311 |
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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.