STEPHANIE PETERSON (NPI# 1518515022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518515022 |
Entity Type | Individual |
Full Name | STEPHANIE PETERSON |
Practice Address |
635 W Willie Morris Pkwy Yazoo City MS 39194-7702 |
Practice Telephone | 6016380031 |
Mailing Telephone | 6016380031 |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MS | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205497534 | Stephanie Mt Peterson | Registered Nurse | 1401 Okeeffe Ave Apt 313, Sun Prairie, WI 53590-7072 | 2019-06-26 |
1821514860 | Stephanie Leigh Peterson | Physical Therapist | 1029 Powderhorn Rd, Simpsonville, SC 29681-3379 | 2017-08-22 |
1992256788 | Stephanie Peterson | Physical Therapy Assistant | 3505 County Road Y, Sheboygan, WI 53083-2400 | 2016-10-17 |
1912257130 | Stephanie Marie Peterson | Behavioral Analyst | 11583 S. 8th St., Schoolcraft, MI 49087 | 2012-09-14 |
1275841462 | Stephanie J Peterson | Massage Therapist | 45 Alabama Rd N Ste 1, Lehigh Acres, FL 33936-6829 | 2010-09-22 |
1073753240 | Stephanie Peterson | Nurse Practitioner | 716 Waverly St Unit B, Houston, TX 77007-1407 | 2009-03-02 |
1578118105 | Stephanie Peterson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-08-09 |
1700431590 | Stephanie Kay Peterson | Nurse Practitioner | 4885 Eldorado Pkwy, Frisco, TX 75033-8662 | 2019-08-08 |
1033672621 | Stephanie Slorahn Peterson | Social Worker | 69 Bay Bridge Dr Ste G, Gulf Breeze, FL 32561-4468 | 2019-04-10 |
1205316106 | Stephanie Grace Peterson | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2018-08-20 |
Street Address |
635 W WILLIE MORRIS PKWY |
City | YAZOO CITY |
State | MS |
Zip Code | 39194-7702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326521048 | Hailey Parks Beckwith | Nurse Practitioner | 635 W Willie Morris Pkwy, Yazoo City, MS 39194 | 2018-09-09 |
1871133959 | Verkendra Washington Shunae Washington | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2020-01-07 |
1194365262 | Alexis C Ingram | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2020-01-07 |
1578022281 | Sir Johnathan Rucker | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-03-13 |
1457817611 | Milya Moore | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-02-13 |
1306302518 | Rachel Sutton | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-02-12 |
1134685423 | Merinda K Alexander | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023584703 | Aslean Brown | Home Health | 522 Old Benton Rd, Yazoo City, MS 39194 | 2018-10-19 |
1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
1285049593 | Baptist Medical Center - Yazoo, Inc. | Family Medicine | 307 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
1033440268 | Medical Foundation of Central Mississippi | Internal Medicine | 828 Grand Avenue, Yazoo City, MS 39194 | 2010-01-28 |
1659537884 | Family Dental Clinic of Yazoo City, LLC | Dentist | 15415 Highway 49 South, Yazoo City, MS 39194 | 2008-08-07 |
1245403351 | Eyedeal Optical Yazoo City LLC | Optometrist | 728 East 15th Street, Yazoo City, MS 39194 | 2008-04-09 |
1245400423 | Stefanie Patterson Dendy | General Acute Care Hospital | 825 Grand Avenue, Yazoo City, MS 39194 | 2008-03-04 |
1144499245 | Martha Coker Home, Inc. | Skilled Nursing Facility | 2041 Grand Avenue, Yazoo City, MS 39194 | 2008-02-22 |
1174716179 | Martha Coker Convalescent Home Inc | Skilled Nursing Facility | 401 E 9th Street, Yazoo City, MS 39194 | 2007-08-22 |
Find all providers in zip 39194 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871133959 | Verkendra Washington Shunae Washington | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2020-01-07 |
1194365262 | Alexis C Ingram | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2020-01-07 |
1578022281 | Sir Johnathan Rucker | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-03-13 |
1457817611 | Milya Moore | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-02-13 |
1306302518 | Rachel Sutton | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-02-12 |
1134685423 | Merinda K Alexander | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-02-12 |
1982881363 | Milicent Renee Coats | Counselor | 2303 Gordon Ave, Yazoo City, MS 39194-2067 | 2008-01-28 |
1477730851 | Regina Johnson | Counselor | 2303 Gordon Ave, Yazoo City, MS 39194-2067 | 2008-01-28 |
1295912244 | Brandy Denise Roby | Counselor | 2303 Gordon Ave, Yazoo City, MS 39194-2067 | 2008-01-22 |
1417131996 | Ouida Parks | Counselor | 1435 Grand Ave, Yazoo City, MS 39194-2651 | 2007-12-20 |
Find all providers in YAZOO CITY |
City | YAZOO CITY |
Zip Code | 39194 |
Please comment or provide details below to improve the information on STEPHANIE 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.