MR. JOSEPH A PETERSEN JR. (NPI# 1487776258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487776258 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH A PETERSEN JR. |
| Practice Address |
6600 Pflumm Rd Shawnee Mission KS 66216-2407 |
| Practice Telephone | 9132688969 |
| Practice Fax Number | 9136315443 |
| Mailing Telephone | 9132688969 |
| Mailing Fax Number | 9136315443 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831539063 | Joseph Duane Petersen | Social Worker | 2475 Emerson Dr, Corona, CA 92882-6259 | 2013-07-02 |
| 1225105604 | Joseph R Petersen | Specialist | 1344 Hiland Ave Ste A, Burley, ID 83318-1564 | 2006-11-29 |
| 1558927665 | Joseph Taylor Petersen | Case Management | 400 W Benson Blvd, Anchorage, AK 99503-3829 | 2019-05-14 |
| 1699143149 | Joseph Petersen | Counselor | 203 W Clark St, Albert Lea, MN 56007-2549 | 2015-09-14 |
| 1053792648 | Joseph David Petersen | Family Medicine | 532 1st St Nw, Britt, IA 50423-1227 | 2015-06-09 |
| 1487808705 | Joseph John Petersen | Licensed Practical Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2008-11-13 |
| 1467603266 | Joseph D Petersen | Nurse Practitioner | 208 Cedar Creek Terrace, Ione, WA 99139 | 2008-10-10 |
| 1881716652 | Joseph A Petersen Sr. | Technician | 6540 Pflumm Rd, Shawnee Mission, KS 66216-2406 | 2007-04-04 |
| 1881744167 | Joseph Michael Petersen | Surgery | 222 N 5th St, Suite 205, Martins Ferry, OH 43935-1582 | 2007-01-11 |
| Street Address |
6600 PFLUMM RD |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66216-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| Find all providers in zip 66216 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831211697 | Loretta R Petersen | Technician | 6540 Pflumm Rd, Shawnee Mission, KS 66216-2406 | 2007-04-04 |
| 1881716652 | Joseph A Petersen Sr. | Technician | 6540 Pflumm Rd, Shawnee Mission, KS 66216-2406 | 2007-04-04 |
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|---|---|---|---|---|
| 1689200875 | Steel Hope Professional Services LLC | Technician | 710 N Smelter St Apt A, Pittsburg, KS 66762-4229 | 2020-03-19 |
| 1215568464 | Andreas P Warren | Technician | 5100 Foxridge Dr. Apt 1524, Mission, KS 66202 | 2020-01-27 |
| 1225517329 | Mission Project - Person Care Assistants, LLC | Technician | 5960 Dearborn St # 225, Mission, KS 66202-3342 | 2018-08-09 |
| 1437669587 | Caren S Schnittker | Technician | 2001 Heizer St, Great Bend, KS 67530-2630 | 2017-10-03 |
| 1043619083 | Betty Stewart | Technician | 4435 Nw Lookout Ct, Topeka, KS 66618-3231 | 2014-08-15 |
| 1699196782 | Russell E Robson | Technician | 3405 W 7th St, Coffeyville, KS 67337-2315 | 2013-12-17 |
| 1902237670 | Devona Young | Technician | 1133 Sw Glendale Dr, Topeka, KS 66604-6121 | 2013-12-06 |
| 1730510702 | Teresa Katheleen Laforte-scott | Technician | 14870 310 Rd, Neodesha, KS 66757-1856 | 2013-12-02 |
| 1447686290 | Margene Dipaling | Technician | 5856 Sw 28th Ter, Topeka, KS 66614-2424 | 2013-09-24 |
| 1003186081 | Brandon Kenyon Sams | Technician | 1317 Wheat Rd, Winfield, KS 67156-4703 | 2012-01-06 |
| Find all providers with the same taxonomy | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66216 |
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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.