BONNIE LOUISE PETERSON (NPI# 1730444910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730444910 |
| Entity Type | Individual |
| Full Name | BONNIE LOUISE PETERSON |
| Practice Address |
412 Lilly Rd Ne Olympia WA 98506-5132 |
| Practice Telephone | 3608672543 |
| Practice Fax Number | 3608672601 |
| Mailing Telephone | 3608672543 |
| Mailing Fax Number | 3608672601 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN00056442 | WA | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN00056442 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093256133 | Bonnie J Peterson | Peer Specialist | 5 Wakefield Ave, Saugus, MA 01906-2711 | 2017-03-08 |
| 1356373542 | Bonnie Jane Peterson | Nurse Practitioner | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2006-07-07 |
| 1952953283 | Bonnie Kaye Peterson | Nurse Practitioner | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2019-07-16 |
| 1073025946 | Bonnie Sue Peterson | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2017-10-31 |
| 1245332832 | Bonnie Gail Peterson | Nurse Anesthetist, Certified Registered | 2000 North Ave, Northfield, MN 55057-1498 | 2006-09-02 |
| 1538124532 | Bonnie Peterson | Social Worker | 1451 44th Ave S, Grand Forks, ND 58201-3434 | 2006-04-20 |
| Street Address |
412 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457483422 | Thurston County | Public Health or Welfare | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-03-12 |
| 1366653685 | Jean E Gowen | Physician Assistant | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-25 |
| 1467669002 | Linda D Jacobsen | Nurse Practitioner | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-16 |
| 1184831828 | Thurston County Public Health & Social Services | Public Health or Welfare | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-16 |
| 1992912638 | Thurston County Public Health & Social Services | Public Health or Welfare | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-16 |
| 1578784385 | Callie Wilson | Nurse Practitioner | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-01 |
| 1326261975 | Thurston County Public Health & Social Services | Public Health or Welfare | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-04-11 |
| 1619099843 | Diana T Yu | General Practice | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074187 | Ana Mikel | Registered Nurse | 315 Smithers Ave S, Renton, WA 98057-2514 | 2020-05-15 |
| 1629690714 | Sandra Ruth Shovlain | Registered Nurse | 909 5th St, Steilacoom, WA 98388-1807 | 2020-05-11 |
| 1144842311 | Mary E Keith Draper | Registered Nurse | 3603 56th Ave Sw, Seattle, WA 98116-3136 | 2020-05-11 |
| 1679127690 | Barbara Travers | Registered Nurse | 9059 Gardner Loop Road Room 236, Tacoma, WA 98431-0001 | 2019-07-29 |
| 1639722697 | Mary Margaret Thomas | Registered Nurse | 701 5th Ave Ste 2300, Seattle, WA 98104-7041 | 2019-07-18 |
| 1871146035 | Becky Jean Lux | Registered Nurse | 9059 Gardner Loop, Joint Base Lewis Mcchord, WA 98431-0001 | 2019-07-17 |
| 1417517962 | Alesia Cassandra Johnson | Registered Nurse | 9070 Fitzsimmons Dr Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2019-06-17 |
| 1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
| 1174186712 | Maria Lourdes Kunkel | Registered Nurse | Bldg 9059 Wtb A Co, Tacoma, WA 98431-0001 | 2019-04-18 |
| 1558924126 | James Monroe Kinsey | Registered Nurse | 9040 Jackson Ave Attn: Mchj-clq, Tacoma, WA 98431-1100 | 2019-04-18 |
| Find all providers with the same taxonomy | ||||
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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.