KELSEY PETERSON (NPI# 1639658479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639658479 |
| Entity Type | Individual |
| Full Name | KELSEY PETERSON |
| Practice Address |
900 W Norfolk Ave Norfolk NE 68701-5006 |
| Mailing Address |
Po Box 386 Plainview NE 68769-0386 |
| Practice Telephone | 4023718000 |
| Mailing Telephone | 4028414729 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2269 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1942813126 | Kelsey Lin Peterson | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2020-08-26 |
| 1174084008 | Kelsey Rae Peterson | Pharmacist | 800 Rose St Rm H110, Lexington, KY 40536-0293 | 2019-03-25 |
| 1003393604 | Kelsey Peterson | Nurse Practitioner | 816 22nd Ave Ste 100, Kearney, NE 68845-2226 | 2018-07-26 |
| 1659894855 | Kelsey Peterson | Occupational Therapist | 118 N 7th Ave, Sheldon, IA 51201-1235 | 2017-07-19 |
| 1932653219 | Kelsey Peterson | Dietitian, Registered | 6046 Cornerstone Ct W, Suite 226, San Diego, CA 92121-4758 | 2016-08-04 |
| 1902144983 | Kelsey Rose Peterson | Physician Assistant | 1245 Nw 4th St Ste 101, Redmond, OR 97756-1680 | 2013-01-25 |
| 1033281019 | Kelsey Carl Peterson Jr. | Specialist | 17742 Beach Blvd, 245, Huntington Beach, CA 92647-6818 | 2006-11-14 |
| Street Address |
900 W NORFOLK AVE |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104805241 | Edward A Wicker | Family Medicine | 900 W Norfolk Ave, Suite 100, Norfolk, NE 68701-5056 | 2006-01-16 |
| 1053801290 | Darian Leigh Vickrey | Case Manager/Care Coordinator | 900 W Norfolk Ave, Norfolk, NE 68701-5006 | 2018-05-14 |
| 1528555497 | Kain Leslie Sparr | Case Manager/Care Coordinator | 900 W Norfolk Ave, Norfolk, NE 68701-5006 | 2018-04-17 |
| 1265961031 | Cherie Brandt | Case Manager/Care Coordinator | 900 W Norfolk Ave, Norfolk, NE 68701-5006 | 2017-06-06 |
| 1477091601 | Angela Thomas | Case Manager/Care Coordinator | 900 W Norfolk Ave, Suite 200, Norfolk, NE 68701-5006 | 2017-02-08 |
| 1952847998 | Marcus Ferguson | Case Manager/Care Coordinator | 900 W Norfolk Ave, Norfolk, NE 68701-5006 | 2017-01-15 |
| 1790220234 | Brittany Dugger | Case Manager/Care Coordinator | 900 W Norfolk Ave, Suite 200, Norfolk, NE 68701-5006 | 2016-12-19 |
| 1255875662 | Colette Mcquivey | Case Manager/Care Coordinator | 900 W Norfolk Ave, Suite 200, Norfolk, NE 68701-5006 | 2016-12-05 |
| 1215488861 | Teresa Lee | Case Manager/Care Coordinator | 900 W Norfolk Ave, 200, Norfolk, NE 68701-5006 | 2016-10-19 |
| 1619425121 | Midtown Health Center, Inc. | Clinic/Center | 900 W Norfolk Ave, Suite 100, Norfolk, NE 68701-5006 | 2016-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1558990291 | Ellen Marie Pagliarulo | Physician Assistant | 21 Ridge Rd, Norfolk, MA 02056-1748 | 2020-04-04 |
| 1437785870 | Marissa Knott | Physician Assistant | 7509 Honeysuckle Rd, Norfolk, VA 23518-4514 | 2020-03-17 |
| 1700428349 | Sydney Charmagne Pawsey | Physician Assistant | 601 Pembroke Ave Apt 610, Norfolk, VA 23507-2051 | 2019-10-15 |
| 1831730944 | Brittany Anne Porter | Physician Assistant | 1362 Virgilina Ave, Norfolk, VA 23503-2218 | 2019-10-01 |
| 1437626686 | Kayla Sommers | Physician Assistant | 601 Childrens Ln Fl 2, Norfolk, VA 23507-1910 | 2018-10-25 |
| 1821573593 | Giselle Castaneda De Guzman | Physician Assistant | 400 W Brambleton Ave Ste 104, Norfolk, VA 23510-1151 | 2018-09-28 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1265925150 | Emily Burke | Physician Assistant | 171 Kempsville Rd Ste 200, Norfolk, VA 23502-4700 | 2018-06-14 |
| 1124546163 | Jonathan Joseph Daly | Physician Assistant | 171 Kempsville Rd Bldg A2nd, Norfolk, VA 23502-4700 | 2017-08-30 |
| Find all providers in NORFOLK | ||||
Please comment or provide details below to improve the information on KELSEY 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.