MS. DEBRA THERESA PETERSON I (NPI# 1699109868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699109868 |
| Entity Type | Individual |
| Full Name | MS. DEBRA THERESA PETERSON I |
| Credential | LPN |
| Practice Address |
38454 N Carolina Ave San Tan Valley AZ 85140-5835 |
| Mailing Address |
1359 W Diamond Ave Apache Junction AZ 85120-6377 |
| Practice Telephone | 4808823520 |
| Mailing Telephone | 4802759774 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | LP042742 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790231231 | Debra Peterson | Dentist | 32 Atchinson Stage Ct, Clayton, CA 94517-1101 | 2016-08-25 |
| 1023341435 | Debra Lynn Peterson | Counselor | 425 W Griggs Ave, Las Cruces, NM 88005-2605 | 2009-09-16 |
| 1306034129 | Debra Jane Peterson | Registered Nurse | 50 N Walkup Ave, Crystal Lake, IL 60014-4316 | 2007-10-05 |
| 1841357548 | Debra Sue Peterson | Chiropractor | 1952 N Tustin St, Orange, CA 92865-4644 | 2007-01-02 |
| 1780766691 | Debra Shereta Peterson | Homeopath | 202 Lakeview Dr, Newport News, VA 23602-6414 | 2006-10-19 |
| 1285725895 | Debra Diane Peterson | Physician Assistant | 185 East 7th Ave, Suite D, Chico, CA 95926 | 2006-09-27 |
| 1073510327 | Debra E Peterson | Physical Therapist | 8415 Wann Dr, Madison, AL 35758-9534 | 2005-07-01 |
| 1467720318 | Debra L Peterson | Counselor | 2100 Campus Dr Se, Suite 200, Rochester, MN 55904-4831 | 2011-12-07 |
| 1770603813 | Debra Irene Peterson | Counselor | 300 2nd Ave Ne, Suite 221, Jamestown, ND 58401-3373 | 2007-03-30 |
| 1356450860 | Debra J Peterson | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-08-29 |
| Street Address |
38454 N CAROLINA AVE |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85140-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| Find all providers in zip 85140 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137552 | Ann Marie Elms | Licensed Vocational Nurse | 3150 Starline Dr, Lk Havasu Cty, AZ 86406-5400 | 2020-02-23 |
| 1346794054 | Barbara Householder | Licensed Vocational Nurse | 6824 S 37th Gln, Phoenix, AZ 85041-6172 | 2016-08-10 |
| 1396194882 | Barclay John Gregson Barclay White | Licensed Vocational Nurse | 6853 E Osborn Rd, Scottsdale, AZ 85251-6211 | 2016-06-06 |
| 1053786459 | Gwyndolen Smith | Licensed Vocational Nurse | 711 E Missouri Ave Ste 100, Phoenix, AZ 85014-2811 | 2015-12-10 |
| 1336559350 | Sharon Stueber | Licensed Vocational Nurse | 13641 W Lisbon Ln, Surprise, AZ 85379-8369 | 2014-04-29 |
| 1467888446 | Celina Hernandez Jonguitud | Licensed Vocational Nurse | 3314 S 92nd Dr, Tolleson, AZ 85353-5544 | 2013-09-23 |
| 1235420993 | Jennifer Lyn Davis | Licensed Vocational Nurse | 1300 South Street, Globe, AZ 85501 | 2011-04-28 |
| 1538466859 | Kristin J Craig | Licensed Vocational Nurse | 19492 N Marble Canyon Ct, Surprise, AZ 85374-5124 | 2011-02-23 |
| 1760717797 | Gaston A Moore Jr. | Licensed Vocational Nurse | 1702 W Tuckey Ln, Phoenix, AZ 85015-1715 | 2009-10-08 |
| 1326281213 | Lori Ann Passineau | Licensed Vocational Nurse | 13223 N 20th St Apt 4, Phoenix, AZ 85022-8010 | 2009-04-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85140 |
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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.