KEVIN PETERSON (NPI# 1538533393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538533393 |
| Entity Type | Individual |
| Full Name | KEVIN PETERSON |
| Credential | LMT |
| Practice Address |
3005 86th St Urbandale IA 50322-4001 |
| Mailing Address |
5641 Vista Dr West Des Moines IA 50266-7581 |
| Practice Telephone | 5158299477 |
| Mailing Telephone | 5158299477 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 004782 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499957 | Kevin Michael Peterson | Dentist | 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 | 2019-10-28 |
| 1790225662 | Kevin Peterson | General Practice | 3551 Rodger Brooke Dr, Anesthesia Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-02-27 |
| 1174712434 | Kevin Richard Peterson | Pharmacist | 2324 S 156th Cir, Omaha, NE 68130-2511 | 2007-10-23 |
| 1053527895 | Kevin Howard Peterson | Psychologist | 31 Baltimore St, Suite 103, Cumberland, MD 21502-3024 | 2007-05-16 |
| 1558327064 | Kevin P Peterson | Family Medicine | 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, MN 55106 | 2006-04-24 |
| 1154972180 | Kevin Peterson | Nurse Anesthetist, Certified Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2019-09-20 |
| 1811543895 | Kevin Nicholas Peterson | Physical Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2019-08-14 |
| 1215412317 | Kevin Bradley Peterson | Audiologist | 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 | 2018-09-25 |
| 1215466321 | Kevin George Peterson | Physical Therapist | 898 Hampton Rd, Mcdonough, GA 30253-6514 | 2017-06-12 |
| 1669633343 | Kevin W. Peterson | Pediatrics | 307 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2008-06-24 |
| Street Address |
3005 86TH ST |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942265228 | Chladek Orthotic & Prosthetic Associates., Inc. | Prosthetic/Orthotic Supplier | 3005 86th St, Urbandale, IA 50322-4001 | 2006-04-19 |
| 1336619626 | Peterson Holistic Services Inc. | Nutritionist | 3005 86th St, Urbandale, IA 50322-4001 | 2018-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093157299 | Jessica Suzan Polito | Massage Therapist | 3682 68th St, Suite 9, Urbandale, IA 50322-3401 | 2013-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059931 | Brittney Nicole Piepenbrink | Massage Therapist | 2937 E Washington Ave, Des Moines, IA 50317-8648 | 2020-10-07 |
| 1932716982 | Safiyah S Grace | Massage Therapist | 1251 Keosauqua Way, Des Moines, IA 50309-1013 | 2020-09-24 |
| 1912513797 | Holly Ann Rasmusson | Massage Therapist | 806 3rd St W, Cresco, IA 52136-1053 | 2020-09-17 |
| 1366055428 | Thomas Ray Savage | Massage Therapist | 1110 Agency St, Burlington, IA 52601-4304 | 2020-08-28 |
| 1083223309 | Jennifer Sue Wahl | Massage Therapist | 308 4th St S, Northwood, IA 50459-1900 | 2020-07-23 |
| 1851916589 | Brenda Naaktgeboren | Massage Therapist | 4215 Lewis Access Road, Suite 300, Center Point, IA 52213-9502 | 2020-06-09 |
| 1558906255 | Angela Crumly | Massage Therapist | 801 Oregon, Suite 6, Muscatine, IA 52761-5276 | 2019-11-18 |
| 1871137307 | Jori Lee Gulker | Massage Therapist | 1504 Us 18 St, Inwood, IA 51240-7544 | 2019-10-28 |
| 1750924585 | La Homa L Simmonds | Massage Therapist | 433 Nature Rd, Boone, IA 50036-7284 | 2019-10-24 |
| 1063062867 | Courtney Renee Myers | Massage Therapist | 113 N 3rd Ave, Villisca, IA 50864-1018 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
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| 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.