MICHELLE ASHLEY EDWARDS PETERSON (NPI# 1538630579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538630579 |
| Entity Type | Individual |
| Full Name | MICHELLE ASHLEY EDWARDS PETERSON |
| Credential | NP-BC |
| Practice Address |
3505 S Mercy Rd Gilbert AZ 85297-0427 |
| Mailing Address |
13400 E Shea Blvd Scottsdale AZ 85259-5499 |
| Practice Telephone | 4807869100 |
| Practice Fax Number | 4807860742 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 220223 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
220223 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5777 E Mayo Blvd, Phoenix, AZ 850544502 | 4803421800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
| 1598117939 | Michelle Danielle Peterson | Counselor | 27 Hiawatha Ct, Midland Park, NJ 07432-1005 | 2016-07-11 |
| 1609103779 | Michelle Peterson | Massage Therapist | 14040 Ne 8th St Ste 214, Bellevue, WA 98007-4138 | 2009-11-11 |
| 1619169901 | Michelle Peterson | Developmental Therapist | 579 Riford Rd, Glen Ellyn, IL 60137-4236 | 2007-08-10 |
| 1851354153 | Michelle C Peterson | Marriage & Family Therapist | 7600 Parklawn Ave, Edina, MN 55435 | 2006-04-08 |
| 1447811708 | Michelle L Peterson | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2019-06-26 |
| 1689234288 | Michelle Peterson | Social Worker | 1499 Sixth Street, Green Bay, WI 54304 | 2019-06-17 |
| 1932664257 | Michelle Peterson | Social Worker | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-02-01 |
| 1366954075 | Michelle Peterson | Social Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2017-11-03 |
| Street Address |
3505 S MERCY RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-0427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039183 | Zaki Lababidi | Internal Medicine | 3505 S Mercy Rd, Gilbert, AZ 85297-0427 | 2005-08-02 |
| 1336669241 | Ala Alkhader | Nurse Practitioner | 3505 S Mercy Rd, Gilbert, AZ 85297-0427 | 2017-06-21 |
| 1508304064 | Suhir Bitar Md Pllc | Pediatrics | 3505 S Mercy Rd, Gilbert, AZ 85297-0427 | 2017-02-05 |
| 1710280847 | Lauren Bunker Woffinden | Nurse Practitioner | 3505 S Mercy Rd, Gilbert, AZ 85297-0440 | 2010-12-12 |
| 1487983920 | Tamera A Townsend-cook | Physician Assistant | 3505 S Mercy Rd, Gilbert, AZ 85297-0440 | 2009-12-11 |
| 1780858852 | Mohammad Reza Hojjati | Internal Medicine | 3505 S Mercy Rd, Gilbert, AZ 85297-0427 | 2008-04-18 |
| 1932147477 | Khaled Albasha | Internal Medicine | 3505 S Mercy Rd, Gilbert, AZ 85297-0427 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962910877 | Peggy Hocutt | Nurse Practitioner | 3686 S Rome St Ste 201, Gilbert, AZ 85297-7341 | 2018-01-12 |
| 1467973156 | Michael Montoya | Nurse Practitioner | 2946 E Banner Gateway Drive - Bmdacc, Gilbert, AZ 85234 | 2017-07-03 |
| 1073059655 | Keata Bhakta | Nurse Practitioner | 721 E Elgin St, Gilbert, AZ 85295-1581 | 2017-01-06 |
| 1144770843 | Ansan Thomas | Nurse Practitioner | 1030 N Wade Dr, Gilbert, AZ 85234-2922 | 2016-10-06 |
| 1982070843 | Sharly K Thomas | Nurse Practitioner | 4099 E Bruce Ct, Gilbert, AZ 85234-0709 | 2015-08-14 |
| 1316324080 | Wendy Ann Robb | Nurse Practitioner | 1422 E Strawberry Dr, Gilbert, AZ 85298-0807 | 2015-05-01 |
| 1285030312 | Eddie Belleza Tabarangao | Nurse Practitioner | 4280 E Sierra Madre Ave, Gilbert, AZ 85296-1589 | 2014-11-17 |
| 1174949390 | Euly Cecille Smith | Nurse Practitioner | 3458 E Terrace Ave, Gilbert, AZ 85234-1721 | 2014-03-12 |
| 1801219449 | Hannah Bangura | Nurse Practitioner | 880 N. Colorado Strees, Gilbert, AZ 85233 | 2014-02-03 |
| 1154932051 | Margaret Capozzi | Nurse Practitioner | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2020-08-13 |
| Find all providers in GILBERT | ||||
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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.