SANDRA PETERSON (NPI# 1518324680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518324680 |
| Entity Type | Individual |
| Full Name | SANDRA PETERSON |
| Credential | RN, LMT |
| Practice Address |
778 Cypress Trails Dr Tarpon Springs FL 34688-9048 |
| Practice Telephone | 8133350485 |
| Mailing Telephone | 8133350485 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM1400X |
Registered Nurse Specialization: Nurse Massage Therapist (NMT) |
RN9168919 | FL | Nursing Service Providers |
| Y | 163WM1400X |
Registered Nurse Specialization: Nurse Massage Therapist (NMT) |
MA46414 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326271214 | Sandra Fae Peterson | Audiologist | 1200 Colchester Dr E, Port Orchard, WA 98366-8519 | 2009-08-26 |
| 1497302046 | Sandra Ann Peterson | Nurse Practitioner | 311 Gwinnett Dr, Lawrenceville, GA 30046-5671 | 2019-08-19 |
| 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 |
778 CYPRESS TRAILS DR |
| City | TARPON SPRINGS |
| State | FL |
| Zip Code | 34688-9048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477712 | Edward E Eakes | Social Worker | 2108 Tarpon Landings Drive, Tarpon Springs, FL 34688 | 2018-12-05 |
| 1104133115 | East Lake Manor, Inc | Assisted Living Facility | 722 East Lake Road S., Tarpon Springs, FL 34688 | 2010-09-13 |
| 1740411529 | Janice Sepe Whittaker | Speech-Language Pathologist | 7704 Massachusettes Ave, New Port Richey, FL 34688 | 2009-07-28 |
| 1316060791 | Mournir Agaiby | General Acute Care Hospital | 3050 Wentworth Way, Tarpens Springs, FL 34688 | 2007-04-09 |
| 1306988225 | Donald John Horn | Dentist | 2605 Keystone Rd, Tarpon Springs, FL 34688 | 2007-02-14 |
| 1316967847 | Albert Douglas Smiley | Dentist | 6707 W Waters Ave, Tampa, FL 34688 | 2006-07-20 |
| 1366441347 | Robert F Metnick | Podiatrist | 422 Appaloosa Rd, Tarpon Springs, FL 34688 | 2005-07-20 |
| 1689866550 | Emanuel Kontos | Dentist | 2605 Keystone Rd, Tarpon Springs, FL 34688 | 2007-08-15 |
| 1902452964 | Market Street East Lake Sl, LLC | Assisted Living Facility | 833 E Lake Rd N, Tarpon Springs, FL 34688-6308 | 2019-08-15 |
| 1588153803 | Andrew Clay Kitterman | Physician Assistant | 2819 Saint Andrews Blvd, Tarpon Springs, FL 34688-6314 | 2018-05-02 |
| Find all providers in zip 34688 | ||||
| Taxonomy Code | 163WM1400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Nurse Massage Therapist (NMT) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451323 | Corpo Therapy Inc | Registered Nurse | 7500 Nw 25 St Suite 202, Miami, FL 33122 | 2017-07-31 |
| 1326497892 | Lois Black | Registered Nurse | 111 N Belcher Rd, Suite 203b, Clearwater, FL 33765-3257 | 2016-06-06 |
| 1972928570 | Barbara Dee Wells | Registered Nurse | 51 Nw 17th St, Homestead, FL 33030-3210 | 2014-02-19 |
| 1659643310 | Jade Lee-ann Seibert | Registered Nurse | 25022 Us Highway 19 N, Clearwater, FL 33763-3918 | 2012-01-27 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| 1740586353 | Karol Schuyler Winchester | Registered Nurse | 515 36th St W, Suite D, Bradenton, FL 34205-2459 | 2011-01-28 |
| 1811154826 | Joseph J Arvilla | Registered Nurse | 9476 88th Terrace North, Seminole, FL 33777 | 2008-05-19 |
| 1639438526 | Sandra H Hunter | Registered Nurse | 2732 Capital Cir Ne, Suite 3, Tallahassee, FL 32308-4108 | 2012-05-11 |
| 1245540244 | Gary David Pajonk | Registered Nurse | 3411 Bonita Beach Rd, Suite 305, Bonita Springs, FL 34134-4155 | 2010-10-09 |
| 1669655544 | Susan Lynne Simmons | Registered Nurse | 3206 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 | 2007-12-13 |
| Find all providers with the same taxonomy | ||||
| City | TARPON SPRINGS |
| Zip Code | 34688 |
Please comment or provide details below to improve the information on SANDRA 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.