MS. KRISTIN PETERSON (NPI# 1699747295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699747295 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN PETERSON |
| Credential | PA-C |
| Practice Address |
3205 N Academy Blvd Suite 100 Colorado Springs CO 80917-5101 |
| Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917-5101 |
| Practice Telephone | 7196325700 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447837 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1148 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 55431763 | 05 |
| 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 |
| 1689199291 | Kristin Brooke Peterson | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2017-08-04 |
| 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 |
| Street Address |
3205 N ACADEMY BLVD SUITE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260613 | Daniel Samuel Berliner | Emergency Medicine | 3205 N Academy Blvd, Suite 160, Colorado Springs, CO 80917-5101 | 2005-10-21 |
| 1760083836 | Colorado Springs Radiologists PC | Radiology | 3205 N Academy Blvd, Colorado Springs, CO 80917-5147 | 2020-11-05 |
| 1609308436 | Royce Toffol | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2017-03-30 |
| 1255784021 | Eric Austin Attard | Counselor | 3205 N Academy Blvd, Colorado Springs, CO 80917-5147 | 2016-07-18 |
| 1124481320 | Joshua Jewell | Family Medicine | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2016-04-04 |
| 1871955815 | Jordan Christensen | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd, Ste. 130, Colorado Springs, CO 80917-5147 | 2016-03-28 |
| 1164883302 | Matthew J Schippers | Hospitalist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2016-03-16 |
| 1255791190 | Peak Vista Community Health Center | Dentist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917 | 2016-03-04 |
| 1780084392 | Erin Ordway | Physician Assistant | 3205 N Academy Blvd, Ste 100, Colorado Springs, CO 80917-5147 | 2014-09-02 |
| 1841551967 | Colorado Urgent Care Associates, P.C. | Clinic/Center | 3205 N Academy Blvd, Colorado Springs, CO 80917-5101 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| 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 |
|---|---|---|---|---|
| 1265054431 | Kimberly Goyack | Physician Assistant | 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 | 2020-05-11 |
| 1891316089 | Chase Devalk | Physician Assistant | 560 Thames Dr, Colorado Springs, CO 80906-4839 | 2020-04-29 |
| 1841846193 | Caroline Selting | Physician Assistant | 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 | 2019-08-13 |
| 1578121935 | Raymond Shaun Wolff | Physician Assistant | 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 | 2019-05-31 |
| 1063996288 | Matthew Steven Chernikovich | Physician Assistant | 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 | 2018-09-24 |
| 1649798018 | Adam Robert Sahlberg | Physician Assistant | 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 | 2017-09-06 |
| 1851821334 | Jennifer Abbott | Physician Assistant | 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 | 2017-06-15 |
| 1912431081 | Brandon Eliott Griffis | Physician Assistant | 3803 N Chestnut St, Colorado Springs, CO 80907-4107 | 2017-04-16 |
| 1508309709 | Aleksandr M Kaplun | Physician Assistant | 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 | 2016-11-21 |
| 1972059038 | Shelby Lynne Ransdell | Physician Assistant | 116 Sherri Dr, Colorado Springs, CO 80911-1447 | 2016-08-29 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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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.