SANDRA ANN PETERSON


Address: 311 Gwinnett Dr, Lawrenceville, GA 30046-5671
Phone: 7709109196

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).

Provider Overview

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

Taxonomy

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

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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

Office Location

Street Address 311 GWINNETT DR
City LAWRENCEVILLE
State GA
Zip Code 30046-5671

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LAWRENCEVILLE
Zip Code 30046

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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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