MS. CRYSTAL MARIE PETERS (NPI# 1548738297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548738297 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL MARIE PETERS |
| Credential | FNP |
| Practice Address |
2502 S Ashland Ave Green Bay WI 54304-5252 |
| Practice Telephone | 2515047130 |
| Mailing Telephone | 2515047130 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8865-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | APNP | 8865-33 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417569369 | Crystal Peters | Pharmacist | 3177 S Perkins Rd, Memphis, TN 38118-4354 | 2020-08-21 |
| Street Address |
2502 S ASHLAND AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346275344 | William H Benn | Emergency Medicine | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2006-07-11 |
| 1306453253 | Monica Castro | Physical Therapist | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2020-09-24 |
| 1730711870 | Lisa Bingham | Family Medicine | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2020-02-06 |
| 1083274344 | Dale Allan Ostrowski | Physician Assistant | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2019-06-19 |
| 1114585270 | Heather A Lutz | Registered Nurse | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2019-06-04 |
| 1760959258 | Deann Brown | Nurse Practitioner | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2018-11-01 |
| 1740769785 | Allison Ebert | Physical Therapist | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2018-08-10 |
| 1073006185 | Caitlyn Forbes | Physician Assistant | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2018-06-13 |
| 1750885448 | Elizabeth Levine | Registered Nurse | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2018-03-19 |
| 1811407323 | Trisha Ann Walton | Nurse Practitioner | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2017-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1245786441 | Danielle Collier | Nurse Practitioner | 835 S Webster, Green Bay, WI 54301-3526 | 2016-08-28 |
| 1275087561 | Kerri Schey | Nurse Practitioner | 2845 Greenbrier Rd Fl 1, Green Bay, WI 54311-6519 | 2016-08-04 |
| 1104205731 | Maureen K Wery | Nurse Practitioner | 2845 Greenbrier Rd Fl 4, Green Bay, WI 54311-6519 | 2015-05-28 |
| 1295128239 | Amanda Bachman | Nurse Practitioner | 1821 S Webster Avenue, Green Bay, WI 54307 | 2015-03-16 |
| 1851643498 | Melissa Anne Smith | Nurse Practitioner | 2845 Greenbriar Road, Suite 320, Green Bay, WI 54208-8900 | 2012-10-05 |
| 1477856581 | Holly Marie Kempers | Nurse Practitioner | 720 S Vanburen Suite 201, Green Bay, WI 54301 | 2010-12-10 |
| 1710900071 | Constance Husman | Nurse Practitioner | 1381 W Mason St, Green Bay, WI 54303-2022 | 2006-07-26 |
| 1487603593 | Kelly R Eells | Nurse Practitioner | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | 2006-05-08 |
| 1033168265 | Deborah Lynn Decker | Nurse Practitioner | 2020 Riverside Dr Ste 200, Green Bay, WI 54301-2300 | 2006-05-06 |
| Find all providers in GREEN BAY | ||||
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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.