MRS. VANESSA MAE PETERSON (NPI# 1669987111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669987111 |
| Entity Type | Individual |
| Full Name | MRS. VANESSA MAE PETERSON |
| Practice Address |
2012 Osprey Place Nw Stewartville MN 55976 |
| Practice Telephone | 5079932004 |
| Mailing Telephone | 5079932004 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 1089962-1-AFC | MN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285027979 | Vanessa Peterson | Counselor | 1 Beechwood Ln, Burlington, NJ 08016-9769 | 2015-03-05 |
| 1912348145 | Vanessa Noel Browne Peterson | Dentist | 436 N Mountain Ave, Upland, CA 91786 | 2013-07-16 |
| 1720386840 | Vanessa Peterson | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2011-03-14 |
| 1205958576 | Vanessa L Peterson | Internal Medicine | 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937 | 2007-04-05 |
| 1871612069 | Vanessa Irene Peterson | Specialist | 1911 Mountain View Lane, Suite 300, Forest Grove, OR 97116 | 2007-03-28 |
| Street Address |
2012 OSPREY PLACE NW |
| City | STEWARTVILLE |
| State | MN |
| Zip Code | 55976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912292707 | Zachary John Lechner | Dentist | 100 Second Street Se, 1, Stewartville, MN 55976 | 2011-06-09 |
| 1912148206 | Mcbe Company | Pharmacy | 220 Centertown Plaza, Stewartville, MN 55976 | 2009-03-16 |
| 1780763342 | Ind School Dist 534 | Local Education Agency (LEA) | 500 4th St Sw, Stewartville, MN 55976 | 2006-11-03 |
| 1760422927 | Judith A Devorak | Nurse Practitioner | 208 Centertown Plaza, Stewartville, MN 55976 | 2006-06-07 |
| 1700829439 | Craig Thauwald | Family Medicine | 208 Centertown Plaza, Stewartville, MN 55976 | 2006-06-13 |
| 1790726727 | Kevin William Huelskamp | Chiropractor | 120 South Main Street, Stewartville, MN 55976 | 2006-06-09 |
| 1982609525 | Stephanie Christine Lillis | Chiropractor | 100 20th St Nw, Stewartville, MN 55976-1003 | 2005-06-20 |
| 1750543880 | Robert James Jensen | Chiropractor | 100 20th St Nw, Stewartville, MN 55976-1003 | 2008-06-30 |
| 1871985028 | Leroy Johnson Jr. | Registered Nurse | 319 23rd St Nw, Stewartville, MN 55976-1026 | 2015-02-25 |
| 1447406293 | Charlie Vincent Dawley | Psychologist | 205 7th Ave Sw, Stewartville, MN 55976-1127 | 2008-08-12 |
| Find all providers in zip 55976 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979979 | South Star Care | Foster Care Agency | 3973 Willow Ridge Dr Sw, Rochester, MN 55902-2801 | 2020-10-09 |
| 1174138218 | Angelique Elizabeth Finifrock | Foster Care Agency | 10701 Becks Rd, Duluth, MN 55808 | 2020-09-15 |
| 1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
| 1285260497 | Yasmin Ahmed Sulayman | Foster Care Agency | 3433 Kenosha Dr Nw, Rochester, MN 55901-5707 | 2020-03-19 |
| 1023657285 | Julia Marie Bolte | Foster Care Agency | 3629 152nd Ln Nw, Andover, MN 55304-3008 | 2020-01-04 |
| 1730722745 | Grace Jepchirchir Fidalgo | Foster Care Agency | 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 | 2019-10-22 |
| 1467094102 | Lake Country Living Services LLC | Foster Care Agency | 181 Little Rock Rd Nw, Rice, MN 56367-8685 | 2019-10-15 |
| 1518508712 | Amanda Hesse | Foster Care Agency | 775 Lee Cir Se, Cokato, MN 55321-4697 | 2019-09-30 |
| 1275181661 | Alliance Homes Corporation | Foster Care Agency | 4946 Jackson St Ne, Columbia Heights, MN 55421-1709 | 2019-08-28 |
| 1760048078 | Kevin Carlyle Lunde X | Foster Care Agency | 1321 Merrywood Ct, Faribault, MN 55021-6529 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | STEWARTVILLE |
| Zip Code | 55976 |
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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.