BROOKE K PETERSON (NPI# 1619184934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619184934 |
| Entity Type | Individual |
| Full Name | BROOKE K PETERSON |
| Credential | PMHNP |
| Practice Address |
7230 Arbuckle Commons Ste 243 Brownsburg IN 46112 |
| Mailing Address |
124 E Northfield Dr Ste F, #293 Brownsburg IN 46112 |
| Practice Telephone | 3176492814 |
| Practice Fax Number | 8283741540 |
| Mailing Telephone | 3176492814 |
| Mailing Fax Number | 8283741540 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
28164171A | IN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71006558A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740502061 | Brooke A. Peterson | Pharmacist | 2125 S Mission St, Mount Pleasant, MI 48858-4426 | 2010-03-01 |
| 1326660622 | Brooke Sara Peterson | Chiropractor | 194 Progress Way, Spicer, MN 56288-5000 | 2020-05-11 |
| Street Address |
7230 ARBUCKLE COMMONS STE 243 |
| City | BROWNSBURG |
| State | IN |
| Zip Code | 46112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466448 | Adrianne Wagoner | Dietitian, Registered | 6535 Branches Dr, Brownsburg, IN 46112 | 2020-01-15 |
| 1649710336 | Sarah Schmitt | Nurse Practitioner | 21 West Main Street, Brownsburg, IN 46112 | 2017-03-01 |
| 1245777507 | Kaden Sloan | Specialist/Technologist | 7964 Acre Ln, Brownsburg, IN 46112 | 2017-01-25 |
| 1700244779 | Hendricks Community Hospital | Clinic/Center | 321 N. Northfield Drive, Suite 100, Brownsburg, IN 46112 | 2016-02-05 |
| 1821462490 | Harmony Home Care LLC | In Home Supportive Care | 2807 Avebury Way, Brownsburg, IN 46112 | 2015-11-19 |
| 1538546742 | Sorgi Sports LLC | Durable Medical Equipment & Medical Supplies | 1531 E. Northfield Dr. Suite 300, Brownsburg, IN 46112 | 2015-04-27 |
| 1083013692 | Tana Gehring | Physical Therapist | 7249 Arbuckle Cmns Ste A, Brownsburg, IN 46112 | 2014-08-19 |
| 1871919597 | Tammy Sarmiento | Clinic/Center | 21 W. Main Street, Brownsburg, IN 46112 | 2014-03-06 |
| 1194160267 | Andrea Chadwick Shelton | Dentist | 1141 S. Green Street, Brownsburg, IN 46112 | 2013-05-02 |
| 1588949457 | Kathleen A Shoemaker | Pharmacist | 20 W. Main Street, Brownsburg, IN 46112 | 2011-10-11 |
| Find all providers in zip 46112 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875669 | Brooke Lavignette | Nurse Practitioner | 1805 Summit Dr, West Lafayette, IN 47906-2231 | 2020-09-15 |
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1942833306 | Osasumwen Igbinoba | Nurse Practitioner | 402 Wall St Ste 23, Valparaiso, IN 46383-2567 | 2020-02-13 |
| 1770114118 | Abbey Bolden | Nurse Practitioner | 929 Miller Ct, Greenfield, IN 46140-7267 | 2020-02-03 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
| 1134780851 | Eric Lyakhovetsky | Nurse Practitioner | 327 W Saidah Rd, Bloomington, IN 47404-8965 | 2019-06-24 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSBURG |
| Zip Code | 46112 |
Please comment or provide details below to improve the information on BROOKE K 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.