CHRISITNE PETERSON (NPI# 1588095376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588095376 |
| Entity Type | Individual |
| Full Name | CHRISITNE PETERSON |
| Credential | NNP |
| Practice Address |
1034 W 500 N Provo UT 84601-2537 |
| Mailing Address |
1034 N 500 W Provo UT 84604-3337 |
| Practice Telephone | 8013577707 |
| Mailing Telephone | 8013577707 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
199990-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1034 W 500 N |
| City | PROVO |
| State | UT |
| Zip Code | 84601-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588055511 | Ihc Health Services Inc | Family Medicine | 1034 W 500 N, Provo, UT 84601-2537 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649815879 | Jessica Ricaurte | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2019-11-12 |
| 1467788943 | Brenda L Smith | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2009-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194242925 | Jeanette Louise Seidel | Nurse Practitioner | 50 N Medical Dr Bldg 525, Salt Lake City, UT 84132-0001 | 2017-08-23 |
| 1912299678 | Katie Emerson | Nurse Practitioner | 2522 W 2250 N, Lehi, UT 84043-5745 | 2011-05-12 |
| 1336323336 | Kristine Antonelli Karlsen | Nurse Practitioner | 9033 Flint Way, Park City, UT 84098-5851 | 2007-12-26 |
| 1598313603 | Natalie Marie Collier | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-09-01 |
| 1073160362 | Julia Christine Thomas | Nurse Practitioner | 100 N Mario Capecchi Dr, Slc, UT 84113-1103 | 2019-08-21 |
| 1386291649 | Anjeanette Newton | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-21 |
| 1952957607 | Allison Kendall | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-16 |
| 1235784562 | Angie May Jensen | Nurse Practitioner | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-08-05 |
| 1861047334 | Elizabeth Anne Elliott | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-01 |
| 1528524030 | Jason Welch Egan | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHRISITNE 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.