SANDRA ANN PETERSON (NPI# 1497302046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497302046 |
Entity Type | Individual |
Full Name | SANDRA ANN PETERSON |
Credential | NP |
Practice Address |
311 Gwinnett Dr Lawrenceville GA 30046-5671 |
Mailing Address |
2900 Chamblee Tucker Rd Bldg 16 Atlanta GA 30341-4148 |
Practice Telephone | 7709109196 |
Mailing Telephone | 7709391288 |
Mailing Fax Number | 7702122203 |
Enumeration Date | 2019-08-19 |
Last Update Date | 2020-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
105507 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518324680 | Sandra Peterson | Registered Nurse | 778 Cypress Trails Dr, Tarpon Springs, FL 34688-9048 | 2016-01-20 |
1326271214 | Sandra Fae Peterson | Audiologist | 1200 Colchester Dr E, Port Orchard, WA 98366-8519 | 2009-08-26 |
1700269651 | Sandra Peterson | Nurse Practitioner | 301 Seton Pkwy Ste 104, Round Rock, TX 78665-8003 | 2015-07-09 |
1215180732 | Sandra Peterson | Counselor | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2008-10-28 |
1588784169 | Sandra Peterson | Social Worker | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2007-03-29 |
1386709475 | Sandra H. Peterson | Counselor | 1978 Babcock Rd, San Antonio, TX 78229-4512 | 2006-12-27 |
1720001290 | Sandra Lynn Peterson | Psychiatry & Neurology | 529 Coffman St, Suite 300, Longmont, CO 80501-5450 | 2006-07-25 |
1053307025 | Sandra Luann Peterson | Social Worker | 120 Labree Ave S, Northwest Medical Center, Thief River Falls, MN 56701-2819 | 2005-09-23 |
Street Address |
311 GWINNETT DR |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-5671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275031874 | Curtis James Atkins | Counselor | 311 Gwinnett Dr, Lawrenceville, GA 30046-5671 | 2018-01-29 |
1548728579 | Tara S Lynch | Nurse Practitioner | 311 Gwinnett Dr, Lawrenceville, GA 30046-5671 | 2019-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407464183 | Lori D. Thornton | Nurse Practitioner | 1672 Weatherbrook Cir, Lawrenceville, GA 30043-4649 | 2020-07-17 |
1831735513 | Ifeoma Osijo | Nurse Practitioner | 1803 Great Shoals Cir, Lawrenceville, GA 30045-3781 | 2019-11-18 |
1992202774 | Chandria Jones | Nurse Practitioner | 2900 University Pkwy, Lawrenceville, GA 30043-4588 | 2018-04-09 |
1235539420 | Ugochi Chiazom Ekemezie | Nurse Practitioner | 2550 Us Highway 1, Lawrenceville, NJ 08609-1821 | 2014-08-26 |
1245639541 | Trina Sanders | Nurse Practitioner | 175 Gwinnette Dr, Lawrenceville, GA 30046 | 2014-08-22 |
1669081543 | Manifesting Minds, LLC | Nurse Practitioner | 1672 Weatherbrook Cir, Lawrenceville, GA 30043-4649 | 2020-07-28 |
1548728579 | Tara S Lynch | Nurse Practitioner | 311 Gwinnett Dr, Lawrenceville, GA 30046-5671 | 2019-03-08 |
1073008983 | Ozidi Associates Inc | Nurse Practitioner | 31 E Darrah Ln, Lawrenceville, NJ 08648 | 2018-06-25 |
1679080469 | Behavioral Wellness Connection Be Well Connect | Nurse Practitioner | 22 Gordon Ave, Lawrenceville, NJ 08648 | 2018-01-03 |
1861927774 | Shirin Bibayan | Nurse Practitioner | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2017-04-28 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30046 |
Please comment or provide details below to improve the information on SANDRA ANN PETERSON.
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.