MR. LYNN A PETERSON (NPI# 1720165160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720165160 |
| Entity Type | Individual |
| Full Name | MR. LYNN A PETERSON |
| Credential | MSN, CRNA |
| Practice Address |
714 W Pine St Newport WA 99156-9046 |
| Mailing Address |
3412 S Jefferson Dr Spokane WA 99203-1421 |
| Practice Telephone | 5094472441 |
| Practice Fax Number | 5094472281 |
| Mailing Telephone | 5092203834 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP30006221 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9636465 | 05 | |
| WA | MEDICARE GROUP NUMBER | G000381050 | 01 |
| WA | MEDICARE RAILROAD | P00395894 | 01 |
| WA | RAILROAD GROUP NUMBER | CG4026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114090743 | Lynn T Peterson | Speech-Language Pathologist | 1310 S Union Ave Ste A100, Tacoma, WA 98405-1907 | 2006-11-15 |
| 1396297446 | Lynn R Peterson | Counselor | 16351 I94, Sentinel Butte, ND 58654-9500 | 2016-10-25 |
| 1316355472 | Lynn Peterson | Pharmacist | 300 11th St W, Williston, ND 58801-5159 | 2014-07-31 |
| 1255612263 | Lynn Marie Peterson | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2011-09-03 |
| 1477876787 | Lynn R Peterson | Physical Therapist | 1700 Ne Indian River Dr, Jensen Beach, FL 34957-5853 | 2010-03-02 |
| 1306042452 | Lynn Peterson | Physical Therapist | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2007-06-25 |
| 1316019953 | Lynn Peterson | Physical Therapist | 3576 Saint Johns Ave, Jacksonville, FL 32205-8446 | 2006-11-15 |
| 1710099460 | Lynn Peterson | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-8608 | 2006-08-31 |
| Street Address |
714 W PINE ST |
| City | NEWPORT |
| State | WA |
| Zip Code | 99156-9046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099397 | Timothy V Chavis | Surgery | 714 W Pine St, Newport, WA 99156-9046 | 2005-11-14 |
| 1497370878 | Catherine Donofrio | Physical Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2020-06-11 |
| 1184142606 | Brian Kevin Taft | Physician Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2017-09-05 |
| 1659807899 | Pend Oreille County Public Hospital District No. 1 | Clinic/Center | 714 W Pine St, Newport, WA 99156-9046 | 2017-05-09 |
| 1669918041 | Alissa Lorraine Schuster | Occupational Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2017-01-10 |
| 1316489941 | Sean Jacquay | Physical Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2016-11-14 |
| 1801268230 | Pend Oreille River Emergency Physicians Pllc | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2015-10-26 |
| 1548656267 | Tamera Jo Wells | Occupational Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2015-04-09 |
| 1225423908 | Steven Price | Physical Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2015-03-31 |
| 1295129476 | Ali Loraine | Physical Therapist | 714 W Pine St, Newport, WA 99156-9046 | 2015-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720535297 | Newport Dental | Clinic/Center | 610 West Second St., Box 849, Newport, WA 99156 | 2016-09-01 |
| 1033665278 | Elisabeth Mackey | Nurse Practitioner | 704 West Pine Street, Newport, WA 99156 | 2016-08-28 |
| 1558764845 | Russell John Stephens | Dentist | 424 N. Warren Ave., Newport, WA 99156 | 2014-10-01 |
| 1215289285 | Mary Sue Siemsen | Speech-Language Pathologist | 1201 W. 5th Street, Newport, WA 99156 | 2012-10-15 |
| 1699027797 | Denise Anderson | Registered Nurse | 1380 W. 5th Street, Newport, WA 99156 | 2012-10-12 |
| 1174840532 | Tina Diane Vanzandt | Counselor | 405 W Walnut St Ste 3, Newport, WA 99156 | 2010-04-26 |
| 1447415252 | Carol Townley | Social Worker | 105 S Garden Avenue, Box 5055, Newport, WA 99156 | 2008-07-21 |
| 1992912117 | Lois A. Robertson | Massage Therapist | 322 South Washington Avenue, Newport, WA 99156 | 2007-05-17 |
| 1740312073 | Amber Lyne Salesky | Massage Therapist | 601 Hwy 20, Newport, WA 99156 | 2007-03-12 |
| 1124159900 | Pend Oreille County Public Hospital District No 1 | Clinic/Center | 100 S Scott, Newport, WA 99156 | 2007-03-07 |
| Find all providers in zip 99156 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952348427 | Cynthia A. Jacobi | Nurse Anesthetist, Certified Registered | 930 Sw Abbey Street, Newport, OR 97365-4820 | 2006-06-01 |
| 1780637587 | David Blair Coston | Nurse Anesthetist, Certified Registered | 432 2nd Street, Newport, TN 37821-3703 | 2006-05-19 |
| 1033466354 | Resource Anesthesia East Tennessee Inc | Nurse Anesthetist, Certified Registered | 435 2nd St, Newport, TN 37821-3703 | 2012-08-06 |
| 1952662553 | Adam Sutterfield | Nurse Anesthetist, Certified Registered | 1205 Mclain St, Newport, AR 72112-3533 | 2012-05-31 |
| 1275821316 | Mekenzie Spencer Johnston Kmack | Nurse Anesthetist, Certified Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2011-07-11 |
| 1962683250 | Ronald D Gilliam | Nurse Anesthetist, Certified Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2007-11-15 |
| 1255548517 | National Healthcare of Newport Inc | Nurse Anesthetist, Certified Registered | 1205 Mclain St, Newport, AR 72112-3533 | 2007-05-17 |
| 1548293459 | Karl Arn Jacobson | Nurse Anesthetist, Certified Registered | 714 W Pine St, Newport, WA 99156-9046 | 2006-07-07 |
| 1154367233 | Hazel Charlene Davis | Nurse Anesthetist, Certified Registered | 435 2nd Street, Newport, TN 37821-3703 | 2006-06-20 |
| 1295772655 | Brent D. Bunker | Nurse Anesthetist, Certified Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2006-06-02 |
| Find all providers in NEWPORT | ||||
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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.