WANDA MARIE PETERSON (NPI# 1518084060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518084060 |
| Entity Type | Individual |
| Full Name | WANDA MARIE PETERSON |
| Credential | RN |
| Practice Address |
700 City Hall Dr Ft Oglethorpe GA 30742-7802 |
| Mailing Address |
78 S Elmwood St Rossville GA 30741-6613 |
| Practice Telephone | 7068613387 |
| Practice Fax Number | 7066385541 |
| Mailing Telephone | 7068613387 |
| Mailing Fax Number | 7066385541 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN077378 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639330137 | Wanda H Peterson | Registered Nurse | 14623 S Hagan St, Olathe, KS 66062-9005 | 2008-06-18 |
| 1699793174 | Wanda Lee Peterson | Dietitian, Registered | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-07-17 |
| Street Address |
700 CITY HALL DR |
| City | FT OGLETHORPE |
| State | GA |
| Zip Code | 30742-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053646059 | Hannah Rachel Hutton Hutton Cobb | Counselor | 700 City Hall Dr, Ft Oglethorpe, GA 30742-7802 | 2009-10-08 |
| 1942495114 | Annette Stacy Smith | Licensed Practical Nurse | 700 City Hall Dr, Ft Oglethorpe, GA 30742-7802 | 2007-09-11 |
| 1013117555 | Terry Knighton | Counselor | 700 City Hall Dr, Ft Oglethorpe, GA 30742-7802 | 2007-07-23 |
| 1346364643 | Angelia Dawson Mcbee | Licensed Practical Nurse | 700 City Hall Dr, Ft Oglethorpe, GA 30742-7802 | 2007-03-19 |
| 1568599090 | Lookout Mountain Community Services | Community/Behavioral Health | 700 City Hall Dr, Ft Oglethorpe, GA 30742-7802 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295972 | Essential Dental, Inc. | Clinic/Center | Essential Dental, Inc, 1188 Cross Street, Fort Oglethorpe, GA 30742 | 2018-12-05 |
| 1760993646 | Mary Lucinda Williams | Counselor | 2007 Old Lafayette Road, Ft. Oglethorpe, GA 30742 | 2017-10-18 |
| 1689120321 | Mary Elizabeth O'brien | Physical Therapist | 2403 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2016-09-01 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1720471469 | Fred Gilreath | Pharmacist | 3801 Tennessee Ave., Fort Oglethorpe, GA 30742 | 2015-03-05 |
| 1538559240 | Michael Dewayne Craig | Physician Assistant | 3063 Battlefield Pkwy, Fort Oglethorpe, GA 30742 | 2015-02-02 |
| 1003232968 | Carla Myers | Counselor | 1875 Fant Drive, Lookout Mountain Community Services, Ft. Oglethorpe, GA 30742 | 2014-03-14 |
| 1386823680 | Lisa L. Bethea | Anesthesiology | 504 N. Thomas Rd, Suite 200, Hutcheson Medical Center, Fort Oglethorpe, GA 30742 | 2007-11-02 |
| 1487857447 | James Andrew Scolet | Physical Therapy Assistant | Nhc Healthcare, 2203 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2007-06-07 |
| 1548338296 | Amy C Williams | Occupational Therapist | 118 Herron Street, Ft Oglethorpe, GA 30742 | 2006-12-01 |
| Find all providers in zip 30742 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744717 | Leighana Caldwell | Registered Nurse | 4104 Springridge Ct, Powder Springs, GA 30127-3546 | 2020-06-10 |
| 1083236087 | Adenike Anne Apata | Registered Nurse | 3796 Okefenokee Rdg, Loganville, GA 30052-7167 | 2020-05-12 |
| 1780233452 | Kellie Tedisco | Registered Nurse | 129 Kelly Farm Dr, Luthersville, GA 30251-1607 | 2019-09-05 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1871053819 | Gay Nell Robinson | Registered Nurse | 733 Erika Ln, Grovetown, GA 30813-8305 | 2019-03-25 |
| 1184123812 | Alex Whitman Peterson | Registered Nurse | 1010 Huntcliff Ste 1350, Atlanta, GA 30350-1809 | 2018-02-08 |
| 1629586748 | Dianne Marie Knettel | Registered Nurse | 37 Calumet Pkwy Ste 100, Newnan, GA 30263-6734 | 2018-01-11 |
| 1205347630 | Caroline R Mckinnon | Registered Nurse | 688 Lambeth Dr, Evans, GA 30809-4272 | 2017-10-12 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1407381817 | Divine Psychiatric Care | Registered Nurse | 2651 Cedar Dr, Lawrenceville, GA 30043-1325 | 2017-04-23 |
| Find all providers with the same taxonomy | ||||
| City | FT OGLETHORPE |
| Zip Code | 30742 |
Please comment or provide details below to improve the information on WANDA MARIE 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.