JOSEPH JOHN PETERSEN (NPI# 1487808705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487808705 |
| Entity Type | Individual |
| Full Name | JOSEPH JOHN PETERSEN |
| Practice Address |
106 North 4th Avenue Fergus Falls MN 56537-1034 |
| Mailing Address |
1525 4th Street N Fargo ND 58102 |
| Practice Telephone | 2189933778 |
| Practice Fax Number | 2189933187 |
| Mailing Telephone | 7013068603 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L064304-3 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831539063 | Joseph Duane Petersen | Social Worker | 2475 Emerson Dr, Corona, CA 92882-6259 | 2013-07-02 |
| 1487776258 | Joseph A Petersen Jr. | Technician | 6600 Pflumm Rd, Shawnee Mission, KS 66216-2407 | 2007-04-04 |
| 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 |
| 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 |
106 NORTH 4TH AVENUE |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447470075 | Curtis Lee Cavalier | Registered Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2007-04-26 |
| 1942445960 | Dawn Marie Hicok | Licensed Practical Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2008-12-04 |
| 1477707123 | Tawny Alese Olson | Licensed Practical Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2008-11-07 |
| 1821245291 | Kristin Janet Robbins | Licensed Practical Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2008-08-27 |
| 1619155462 | Shelly Ree Tome | Licensed Practical Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2008-02-04 |
| 1932384310 | Susan Margaret Mahon | Registered Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2008-01-04 |
| 1861671950 | Jean Renee Moszer | Licensed Practical Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2007-10-25 |
| 1538356209 | Krista Sleen | Licensed Practical Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2007-09-26 |
| 1063606036 | Kimberly Ann Meyer | Registered Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2007-08-31 |
| 1043402779 | Peggy Sue Eckert | Licensed Practical Nurse | 106 North 4th Avenue, Fergus Falls, MN 56537-1034 | 2007-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417277799 | Pamela Faye Reichel | Licensed Practical Nurse | 106 4th Ave. North, Fergus Falls, MN 56537 | 2010-06-09 |
| 1649501792 | Felicia Pouyonoh Carl | Licensed Practical Nurse | 106 4th Ave. N., Fergus Falls, MN 56537-1034 | 2010-01-28 |
| 1083857999 | Sandra Lynn Fales | Licensed Practical Nurse | 106 N 4th Ave # North, Fergus Falls, MN 56537-1034 | 2009-04-08 |
| 1306093695 | Sherrie Laine Cooke | Licensed Practical Nurse | 106 North 4th Ave., Fergus Falls, MN 56537-1034 | 2008-08-19 |
| 1811168107 | Nancy Alice Brandl | Licensed Practical Nurse | 106 4th Ave No, Fergus Falls, MN 63537-1034 | 2008-03-14 |
| 1972771210 | Nadine Miller | Licensed Practical Nurse | 23123 Oakview Hgts Dr, Ck Home Health Care Inc, Fergus Falls, MN 56537-1034 | 2008-02-20 |
| 1336338698 | Joyce Jean Arndt | Licensed Practical Nurse | 106 No 4th Ave, Fergus Falls, MN 56537-1034 | 2007-10-23 |
| 1861691537 | Becky Bea Schultz | Licensed Practical Nurse | 160 4th Ave, Fergus Falls, MN 56537-1734 | 2007-07-13 |
| 1346458064 | Jessica Jean Lyngaas | Licensed Practical Nurse | 106 4th Avenue North, Fergus Falls, MN 56537 | 2007-05-18 |
| 1376763466 | Lori Ann Raba | Licensed Practical Nurse | 106 North 4th Av, Fergus Falls, MN 56537-1034 | 2007-04-30 |
| Find all providers in FERGUS FALLS | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
Please comment or provide details below to improve the information on JOSEPH JOHN PETERSEN.
| 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.