SHANNON PETERSON (NPI# 1588002984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588002984 |
| Entity Type | Individual |
| Full Name | SHANNON PETERSON |
| Practice Address |
324 Edgewood Rd Nw Cedar Rapids IA 52405-3650 |
| Practice Telephone | 3197300636 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19307 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316975683 | Shannon Peterson | Chiropractor | N275 Military Rd, Suite 2, Sherwood, WI 54169-9603 | 2006-06-28 |
| 1659982445 | Shannon Elise Peterson | Counselor | 908 N Howard Ave, Grand Island, NE 68803-3556 | 2020-08-14 |
| 1588212161 | Shannon Lyle Peterson | Occupational Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-08-28 |
| 1356858393 | Shannon Peterson | Case Manager/Care Coordinator | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2017-12-29 |
| 1215345210 | Shannon Peterson | Nurse Practitioner | 1501 E 10th St, Atlantic, IA 50022-1936 | 2014-07-23 |
| 1912253360 | Shannon Michelle Peterson | Massage Therapist | 11811 Mukilteo Speedway, 200, Mukilteo, WA 98275-5442 | 2012-08-02 |
| 1699975235 | Shannon Conley Peterson | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2007-07-23 |
| 1013127828 | Shannon Lynn Peterson | Registered Nurse | 1200 W Speedway Blvd, Tucson, AZ 85745-2326 | 2007-05-23 |
| 1972626521 | Shannon Shaffer Peterson | Marriage & Family Therapist | 4000 W Metropolitan Dr Ste 401, Orange, CA 92868-3506 | 2007-04-09 |
| Street Address |
324 EDGEWOOD RD NW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52405-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740597525 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 324 Edgewood Rd Nw, Cedar Rapids, IA 52405-3650 | 2010-09-01 |
| 1548692213 | Jonathan P Smith | Pharmacist | 324 Edgewood Rd Nw, Cedar Rapids, IA 52405-3650 | 2013-08-05 |
| 1780966226 | Jeffrey Dolter | Pharmacist | 324 Edgewood Rd Nw, Cedar Rapids, IA 52405-3650 | 2011-09-11 |
| 1053692707 | Laurie Anne Kenjar | Pharmacist | 324 Edgewood Rd Nw, Cedar Rapids, IA 52405-3650 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1497202923 | Mary Frances Schmidt-luhring | Counselor | 3100 E Ave Nw, Suite 105, Heart and Solutions, LLC, Cedar Rapids, IA 52405 | 2016-09-01 |
| 1013298116 | Daniel Hernandez | Non-emergency Medical Transport (VAN) | 408 Day St Northwest, Cedar Rapids, IA 52405 | 2011-09-01 |
| 1528374758 | Matthew Lorenzo Vasquez | Social Worker | 3113 1st Ave Nw, Cedar Rapid, IA 52405 | 2010-08-25 |
| 1770643470 | Douglas P Dvorak | Chiropractor | 1427 6th St Nw, Cedar Rapids, IA 52405 | 2006-12-11 |
| 1144396326 | West Ridge Associates Inc | Skilled Nursing Facility | 3131 F Ave Nw, Cedar Rapids, IA 52405 | 2006-11-28 |
| 1134120405 | Toni Neta | Social Worker | 3100 E Avenue Nw, Suite 101, Cedar Rapids, IA 52405 | 2005-08-09 |
| 1013918051 | Carol Ogea | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-01 |
| 1043678717 | Nancy Muir | Social Worker | 520 11th St Nw, Abbe Center for Community Mental Health, Cedar Rapids, IA 52405 | 2016-02-09 |
| 1215257019 | Katie Moon | Counselor | 520 11th St Nw, Abbe Center Community Mental Health, Cedar Rapids, IA 52405 | 2010-06-03 |
| Find all providers in zip 52405 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708070 | Bethany Vogts | Pharmacist | 1825 29th St Ne Ste E, Cedar Rapids, IA 52402-3452 | 2020-10-20 |
| 1730654641 | Amber R Johnson | Pharmacist | 2811 Cory Ct Sw Apt 7, Cedar Rapids, IA 52404-4030 | 2018-10-06 |
| 1235505405 | Shelly Hewitt | Pharmacist | 717 A Ave Ne Ste 202, Cedar Rapids, IA 52401-1024 | 2015-08-11 |
| 1316334220 | Abby Kathleen Meyer | Pharmacist | 1847 1st Ave Se, Suite 100, Cedar Rapids, IA 52402-5449 | 2015-04-17 |
| 1427473982 | Teresa Marie Mitchell | Pharmacist | 402 10th St Se Ste 700, Cedar Rapids, IA 52403-2459 | 2014-02-20 |
| 1215223300 | Lauren Leigh Jacobi | Pharmacist | 3400 Edgewood Road Sw, Cedar Rapids, IA 52404 | 2011-06-27 |
| 1790008829 | Lynn Denise Kellogg | Pharmacist | 180 Collins Rd Ne, Cedar Rapids, IA 52402-3229 | 2010-03-03 |
| 1649445552 | Christopher P Tuetken | Pharmacist | 207 2nd Ave Se, Cedar Rapids, IA 52401-1238 | 2008-04-23 |
| 1851509194 | Joseph M Wolf | Pharmacist | 2405 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3419 | 2007-05-18 |
| 1477767424 | Robert Alan Jiroutek | Pharmacist | 1520 Sixth St S.w., Cedar Rapids, IA 52404-4700 | 2007-05-09 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52405 |
Please comment or provide details below to improve the information on SHANNON 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.