DR. KRISTIN BROOKE PETERSON (NPI# 1689199291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689199291 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN BROOKE PETERSON |
| Credential | PHARMD |
| Practice Address |
2301 Holmes St Kansas City MO 64108-2640 |
| Mailing Address |
929 Sw 80th Rd Liberal MO 64762-9184 |
| Practice Telephone | 8164044293 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
2017028094 | MO | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 Clay Edwards Dr, North Kansas City, MO 641163220 | 8166912000 | |
| 29 Nw 1st Ln, Lamar, MO 647598105 | 4716815100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891246534 | Kristin Peterson | Social Worker | 50 Mcdougal Dr, White Plains, NY 10603-2310 | 2016-10-18 |
| 1386997286 | Kristin K Peterson | Case Manager/Care Coordinator | 831 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2012-10-17 |
| 1851537849 | Kristin Peterson | Speech-Language Pathologist | 1733 W Irving Park Rd Apt 321, Chicago, IL 60613-2561 | 2008-12-23 |
| 1437132115 | Kristin Kay Peterson | Physical Therapist | 1217 Plaza Blvd Ste E, Suite 130, Central Point, OR 97502-2682 | 2005-11-28 |
| 1871052803 | Kristin Lily Peterson | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-19 |
| 1336641562 | Kristin Michelle Peterson | Social Worker | 110 N 4th Ave, Ann Arbor, MI 48104-5503 | 2018-03-03 |
| 1295247161 | Kristin Peterson | Social Worker | 8 Atwood Dr, Northampton, MA 01060-4266 | 2017-10-31 |
| 1477097665 | Kristin Peterson | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2016-12-07 |
| 1215301205 | Kristin Ann Peterson | Counselor | 618 S Il Route 31, Suite 2, Mchenry, IL 60050-8273 | 2015-11-14 |
| 1134460520 | Kristin Peterson | Behavioral Analyst | 2560 9th St, Suite 219, Berkeley, CA 94710-2500 | 2013-03-08 |
| Street Address |
2301 HOLMES ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416949 | Heather K Isom | Emergency Medicine | 2301 Holmes St, Kansas City, MO 64108-2640 | 2005-06-09 |
| 1457951733 | Edin Mehmedovic | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2677 | 2020-10-27 |
| 1679170005 | Melissa Kay Abramovitz | Nurse Practitioner | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-10-08 |
| 1487269957 | Collin Curry | Nurse Practitioner | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-09-11 |
| 1114530631 | Eric Potrykus | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-08-25 |
| 1093323784 | Katie Lynn Luetkenhaus | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-07-19 |
| 1063020907 | Jordan Elaine Frangello | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-07-16 |
| 1114545357 | Aaron Lawson | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-07-13 |
| 1336766013 | Gadison Quick | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-06-29 |
| 1376166843 | Rebecca Ann Garton | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347277 | Blake William Baumann | Pharmacist | 2301 Homes St, Kansas City, MO 64108 | 2017-06-29 |
| 1093131500 | Chessa Nyberg | Pharmacist | 410 E Porte Cimi Pas St, Kansas City, MO 64131-2922 | 2014-03-07 |
| 1770747438 | Todd Krueger | Pharmacist | 8116 Belleview Ave, Kansas City, MO 64114-2108 | 2008-07-11 |
| 1467079699 | Jordan Thoman | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-07-03 |
| 1871140053 | Tyler Mitchell Gonser | Pharmacist | 7739 State Ave, Kansas City, KS 66112-2819 | 2019-08-21 |
| 1942852132 | Angela Kaucher | Pharmacist | 4801 E Linwood Blvd # 119, Kansas City, MO 64128-2226 | 2019-07-09 |
| 1982180071 | Connor Rossier | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2018-07-12 |
| 1467948885 | Linda Ai-linh Dang | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2018-07-09 |
| 1942707484 | Andrea Calvert | Pharmacist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2018-04-11 |
| 1225537178 | Brandon Lukert | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-02-06 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on DR. KRISTIN BROOKE 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.