DAVID PETERSEN (NPI# 1669454062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669454062 |
| Entity Type | Individual |
| Full Name | DAVID PETERSEN |
| Credential | R.N. |
| Practice Address |
460 State Rd #7 Ste 300 Royal Palm Beach FL 33411 |
| Mailing Address |
10131 W. Forest Hill Blvd Ste 230 West Palm Beach FL 33414 |
| Practice Telephone | 5617986600 |
| Practice Fax Number | 5612042042 |
| Mailing Telephone | 5617986600 |
| Mailing Fax Number | 5612042042 |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
RN 2555352 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS/BLUE SHIELD | Y9142 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112951 | David Petersen | Student in an Organized Health Care Education/Training Program | 1648 N Venetian Way, Saratoga Springs, UT 84045-3150 | 2015-05-01 |
| 1821114968 | David Petersen | Physical Therapist | 164 Circle Dr, Cottontown, TN 37048-4619 | 2007-03-21 |
| 1821145590 | David Sigurd Petersen | Urology | 2121 1st Street A, Moline, IL 61265-7745 | 2007-01-04 |
| 1851482202 | David B Petersen | Ophthalmology | 4400 So 700 E, 100, Salt Lake City, UT 84107 | 2006-09-28 |
| 1942250808 | David James Petersen | Podiatrist | 24191 Paseo De Valencia, Suite E, Laguna Woods, CA 92637-3167 | 2006-05-11 |
| 1750363149 | David A Petersen | Orthopaedic Surgery | 361 Hospital Rd Ste 527, Newport Beach, CA 92663-3526 | 2005-11-19 |
| 1225497894 | David Petersen | Nurse Practitioner | 471 Hepburn St, Williamsport, PA 17701-6122 | 2016-02-11 |
| 1679764989 | David H Petersen | Social Worker | 6112 S 1550 E, Ogden, UT 84405-5007 | 2007-08-05 |
| 1164633632 | David Petersen | Counselor | University of Maryland, 1209 Shoemaker Building, College Park, MD 20742-0001 | 2007-05-25 |
| 1194848655 | David G Petersen | Dentist | 123 W Francis Ave Ste 104, Spokane, WA 99205-6348 | 2007-04-09 |
| Street Address |
460 STATE RD #7 STE 300 |
| City | ROYAL PALM BEACH |
| State | FL |
| Zip Code | 33411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083944052 | Jose Manuel Rodriguez-leiva | Registered Nurse | 3021 E 7th Ave, Hialeah, FL 33013-3318 | 2010-01-13 |
| 1598366239 | Alejandra Margarita Patterson | Registered Nurse | 3100 Sw 62nd Ave, Suite 108 Center for Spinal Disorders, Miami, FL 33155 | 2020-11-07 |
| 1235745241 | Camila Regondi | Registered Nurse | 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 | 2020-09-16 |
| 1184247116 | Nino A Taricano | Registered Nurse | 4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL 33313-7268 | 2020-05-26 |
| 1659920270 | Denise Marlatte | Registered Nurse | 3501 Cattlemen Rd Ste A, Sarasota, FL 34232-6054 | 2019-09-06 |
| 1518453331 | Kaley Mcnabb | Registered Nurse | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544 | 2018-07-04 |
| 1760999452 | Brittiany Elizabeth Garrett | Registered Nurse | 4409 Sun N Lake Blvd, Sebring, FL 33872-2170 | 2018-01-04 |
| 1124564190 | Tiffany Mossman | Registered Nurse | 15821 Hollyfern Ct, Fort Myers, FL 33908-3732 | 2017-01-13 |
| 1033570213 | Melanie Rowell | Registered Nurse | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2016-03-15 |
| 1003009341 | Karen Greene | Registered Nurse | 305 E Brandon Blvd, Suite 101, Brandon, FL 33511-5222 | 2007-08-21 |
| Find all providers with the same taxonomy | ||||
| City | ROYAL PALM BEACH |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on DAVID PETERSEN.
| 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.