ANDREA B PETERSON (NPI# 1770731473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770731473 |
| Entity Type | Individual |
| Full Name | ANDREA B PETERSON |
| Other Name | ANDREA B BARTHOLOMAY |
| Credential | NP |
| Practice Address |
737 Broadway Fargo ND 58122-0001 |
| Practice Telephone | 7012346060 |
| Practice Fax Number | 7012347260 |
| Mailing Telephone | 7012346060 |
| Mailing Fax Number | 7012347260 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R29648 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R29648 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 19930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922569698 | Andrea Marie Peterson | Pediatrics | 1917 Lakeshore Dr, Modesto, CA 95355-1869 | 2019-03-26 |
| 1154689412 | Andrea Lyn Peterson | Occupational Therapy Assistant | 3452 Hickory Ln, Deer Park, TX 77536-5051 | 2012-04-24 |
| 1316559529 | Andrea Dawn Peterson | Social Worker | 520 N 4th St, Springfield, IL 62702-5238 | 2020-08-19 |
| 1336762772 | Andrea Peterson | Behavioral Analyst | 8285 S Saginaw St, Grand Blanc, MI 48439-2468 | 2020-05-20 |
| 1740812858 | Andrea Peterson | Psychologist | 430 E Shirley Ave, Warrenton, VA 20186-3725 | 2020-02-06 |
| 1063876019 | Andrea Michelle Peterson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9032 | 2016-04-06 |
| 1609146570 | Andrea Peterson | Marriage & Family Therapist | 2378 Maritime Dr Ste 100, Elk Grove, CA 95758-3641 | 2012-01-09 |
| 1942324876 | Andrea M.h. Peterson | Social Worker | 1127 N Oakley Blvd, 3rd Floor, Chicago, IL 60622-3507 | 2007-03-17 |
| 1801904776 | Andrea T Peterson | Physical Medicine & Rehabilitation | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-08-29 |
| 1245200187 | Andrea A Peterson | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-24 |
| Street Address |
737 BROADWAY |
| City | FARGO |
| State | ND |
| Zip Code | 58122-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437103959 | Robin J Sickels | Dietitian, Registered | 737 Broadway, Fargo, ND 58122-0001 | 2006-05-20 |
| 1679883680 | Summer Schauer | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2010-10-13 |
| 1588974596 | Melissa Vanmatre | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2010-10-13 |
| 1164652640 | Sanford Clinic North | Clinical Medical Laboratory | 737 Broadway, Fargo, ND 58122-0045 | 2009-07-20 |
| 1710138375 | Kent C Moser | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2008-10-01 |
| 1023268711 | Katie C Busker | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122 | 2008-09-30 |
| 1801091384 | Vijay Korimilli | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2007-06-15 |
| 1437362571 | Heidi J Lako-adamson | Emergency Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2007-05-07 |
| 1164567970 | Kristen M Liebl | Dietary Manager | 737 Broadway, Fargo, ND 58122-0001 | 2007-02-20 |
| 1063565802 | Bruce I Errett | Anesthesiology | 737 Broadway, Fargo, ND 58122-0001 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
| 1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
| 1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
| 1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
| 1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
| 1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
| 1457594079 | Manisha Balhara | Specialist | 2400 32nd Avenue S, Fargo, ND 58122 | 2009-04-13 |
| 1578536728 | Shelby A Terstriep | Internal Medicine | 820 4 Street North, Fargo, NC 58122 | 2006-02-08 |
| 1295229946 | Christopher Hinh | Student in an Organized Health Care Education/Training Program | 801 Broadway North, Fargo, ND 58122 | 2018-06-17 |
| 1558854539 | Suchita Kotnala | Family Medicine | 737 Broadway North, Fargo, ND 58122 | 2018-06-13 |
| Find all providers in zip 58122 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284671 | Lindsay Raye Busse | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-08-04 |
| 1750866935 | Tracy Hinrichs | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-10-03 |
| 1891179701 | Stephanie Nelson | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2015-07-10 |
| 1598148918 | Rachael Niemeyer | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2015-07-02 |
| 1922496975 | Erica Mccray | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2014-12-29 |
| 1649606609 | Brittany J Keller | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2013-09-23 |
| 1619238078 | Melanie A Noonan | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2012-06-01 |
| 1598997199 | Stephanie Nilles | Nurse Practitioner | 737 Broadway N, Fargo, ND 58102-4421 | 2009-08-14 |
| 1538291422 | Theresa Lynn Strong | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702485 | Brandi Nichole Ozbun | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2019-10-23 |
| 1306299375 | Breanna J Wheeler | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2016-07-14 |
| 1104225580 | Stacy Wallin | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2014-08-21 |
| 1912347949 | Julie Ann Loiland | Nurse Practitioner | 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 | 2013-07-05 |
Please comment or provide details below to improve the information on ANDREA B 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.