LISA PETERSON (NPI# 1790056554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790056554 |
| Entity Type | Individual |
| Full Name | LISA PETERSON |
| Credential | ARNP |
| Practice Address |
12629 Se 54th St Bellevue WA 98006-2916 |
| Practice Telephone | 8087805257 |
| Mailing Telephone | 8087805257 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60267893 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952592 | Lisa Peterson | Physical Therapy Assistant | 893 94th St, Pleasant Prairie, WI 53158-4911 | 2017-06-27 |
| 1497154033 | Lisa Peterson | Speech-Language Pathologist | 407 N Foster St, Center, MO 63436-1026 | 2014-08-20 |
| 1528467503 | Lisa Peterson | Marriage & Family Therapist | 3240 W Foster Ave, Suite A, Chicago, IL 60625-4828 | 2014-08-15 |
| 1518204734 | Lisa Lynn Peterson | Counselor | 405 Goldridge Dr, Georgetown, TX 78633-1989 | 2013-01-08 |
| 1265697676 | Lisa Ann Peterson | Social Worker | 8366 Mary Lee Ln, Laurel, MD 20723-1192 | 2008-07-24 |
| 1619156411 | Lisa M Peterson | Physician Assistant | 1500 14th St W Ste 300, Williston, ND 58801-4079 | 2007-10-29 |
| 1962514869 | Lisa A Peterson | Counselor | 110 Elmwood Ave, Providence, RI 02907-2423 | 2006-08-31 |
| 1336131986 | Lisa M Peterson | Internal Medicine | 180 W Grange Ave, Milwaukee, WI 53207-6030 | 2005-08-19 |
| 1154983682 | Lisa Marie Peterson | Counselor | 784 High St, San Luis Obispo, CA 93401-5243 | 2019-07-04 |
| 1013480631 | Lisa Jane Peterson | Speech-Language Pathologist | 3430 Burnet Ave # 4011, Cincinnati, OH 45229-2833 | 2019-01-07 |
| Street Address |
12629 SE 54TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659747269 | Sarah Yeates | Nurse Practitioner | 15015 Se 15th St, Bellevue, WA 98007-5802 | 2015-08-18 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1356778583 | Elizabeth Mueller | Nurse Practitioner | 4205 148th Ave Ne Ste 103, Bellevue, WA 98007-7114 | 2013-10-02 |
| 1891927000 | Katherine Amanda Ko | Nurse Practitioner | 2105 112th Ave Ne Ste 201, Bellevue, WA 98004-2945 | 2009-08-20 |
| 1043348006 | Eva Faye Dee Hiatt | Nurse Practitioner | 4957 Lakemont Blvd, Suite C-4 Box #202, Bellevue, WA 98006 | 2007-03-01 |
| 1780779827 | Jessica Lee Jajesnica | Nurse Practitioner | 1240 116th Ave Ne, Bellevue, WA 98004-3815 | 2006-10-04 |
| 1962047811 | Ann M Griffin | Nurse Practitioner | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-11-14 |
| 1275182396 | Claire Anne Streeter | Nurse Practitioner | 400 108th Ave Ne Ste 700, Bellevue, WA 98004-8425 | 2019-09-11 |
| 1073071437 | Faduma Abdirahman Haji Ali | Nurse Practitioner | 1800 112th Ave Ne # 150w, Bellevue, WA 98004-2993 | 2019-03-05 |
| 1407249253 | Allegra Klein | Nurse Practitioner | 4205 148th Ave Ne, 103, Bellevue, WA 98007-7114 | 2015-03-17 |
| Find all providers in BELLEVUE | ||||
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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.