PATRICE G PETERSEN (NPI# 1609475383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609475383 |
| Entity Type | Individual |
| Full Name | PATRICE G PETERSEN |
| Credential | RDH |
| Practice Address |
1250 Southwinds Dr Lantana FL 33462-1459 |
| Mailing Address |
1515 N Flagler Dr West Palm Beach FL 33401-3428 |
| Practice Telephone | 5616421000 |
| Mailing Telephone | 5616421000 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH18003 | FL | Dental Providers |
| Street Address |
1250 SOUTHWINDS DR |
| City | LANTANA |
| State | FL |
| Zip Code | 33462-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454015 | Stewart J Friedman | Obstetrics & Gynecology | 1250 Southwinds Dr, Lantana, FL 33462 | 2005-08-19 |
| 1003417296 | Irene Saharai Garcia | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-11-04 |
| 1922622521 | Christeena E Koshy | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-05-31 |
| 1881246296 | Marco Angelo Fernandez Sanchez | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-07-15 |
| 1093272973 | Melinda Pierre | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-02-27 |
| 1821553652 | Massiel Marie Perez | Counselor | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-02-06 |
| 1942782461 | Patricia Doreen Marshall Hohn | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2018-08-30 |
| 1053833210 | Arlene Lopez | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2017-07-10 |
| 1679094734 | Elaine Esplin | Counselor | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2017-06-29 |
| 1538695721 | Emily Catherine Bell | Physician Assistant | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2017-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417296 | Irene Saharai Garcia | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-11-04 |
| 1053833210 | Arlene Lopez | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037453 | Mary Kate Pace | Dental Hygienist | 1115 N Eglin Pkwy, Shalimar, FL 32579-1228 | 2020-09-13 |
| 1578173910 | Kimberly Beck | Dental Hygienist | 18030 Sandtrap Dr, Naples, FL 34114-7596 | 2020-07-31 |
| 1962012328 | Melody Jean Garcia | Dental Hygienist | Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 | 2020-07-31 |
| 1043829385 | Mailyn Cortes | Dental Hygienist | 1134 Sw 12th Ct, Miami, FL 33135-5418 | 2020-07-22 |
| 1841817988 | Polly Ward | Dental Hygienist | 1022 Main St Ste P, Dunedin, FL 34698-5225 | 2020-07-04 |
| 1760007959 | Leanne Crist Nichol | Dental Hygienist | 6957 Boulder Run Loop, Wesley Chapel, FL 33545-4854 | 2020-06-12 |
| 1124641337 | Rhoda P Kublickis | Dental Hygienist | 274 Tropic Dr, Lauderdale By The Sea, FL 33308-5428 | 2020-05-21 |
| 1306468533 | Heather Paul | Dental Hygienist | 8839 Handel Loop, Land O Lakes, FL 34637 | 2020-05-11 |
| 1902426729 | Jose Dalby Contreras | Dental Hygienist | 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 | 2020-04-22 |
| 1659991974 | Maggie Cruciata | Dental Hygienist | 974 International Pkwy, Lake Mary, FL 32746-5219 | 2020-04-17 |
| 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.