KERRY PETERSON (NPI# 1790109825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790109825 |
| Entity Type | Individual |
| Full Name | KERRY PETERSON |
| Credential | ARNP, FNP-C |
| Practice Address |
319 E Pioneer Ave Montesano WA 98563-4601 |
| Mailing Address |
Po Box 1898 Aberdeen WA 98520-0315 |
| Practice Telephone | 3602491980 |
| Mailing Telephone | 3606379263 |
| Mailing Fax Number | 3606378732 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60443753 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487014338 | Kerry Ann Peterson | Nurse Practitioner | 13120 E 19th Ave # C288-5, Aurora, CO 80045-2567 | 2016-03-03 |
| 1689103491 | Kerry Elizabeth Peterson | Speech-Language Pathologist | 24 Firemens Way, Poughkeepsie, NY 12603 | 2017-06-06 |
| 1720371933 | Kerry Peterson | Speech-Language Pathologist | 6625 Daly Rd, West Bloomfield, MI 48322-3410 | 2011-05-20 |
| Street Address |
319 E PIONEER AVE |
| City | MONTESANO |
| State | WA |
| Zip Code | 98563-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598720492 | Patrick Edward Henderson | Otolaryngology | 319 E Pioneer Ave, Montesano, WA 98563 | 2006-04-20 |
| 1891312526 | Jacqueline Flowers | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2020-06-29 |
| 1649800426 | Kerbie Salvador A Barrantes | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2020-01-22 |
| 1275031304 | Grays Harbor Community Hospital | Family Medicine | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2018-01-23 |
| 1083084677 | Grays Harbor Community Hospital | Family Medicine | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2015-09-25 |
| 1073939427 | Kgp LLC | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2014-03-10 |
| 1346521473 | John E. Eiland Do, Facoog, Ps | Obstetrics & Gynecology | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2011-09-02 |
| 1023274370 | Grant W Jackson Md Ps | Family Medicine | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2008-08-05 |
| 1306901475 | Grant Wells Jackson | Emergency Medicine | 319 E Pioneer Ave, Grant W Jackson Md Ps, Montesano, WA 98563-4601 | 2006-12-27 |
| 1588730337 | John E Eiland Jr. | Obstetrics & Gynecology | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2006-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869993 | Schuyler Rose | Physical Therapist | 800 N Medcalf Street, Montesano, WA 98563 | 2019-09-04 |
| 1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
| 1457913584 | Teresa Vansant | Licensed Practical Nurse | 800 N. Medcalf Street, Montesano, WA 98563 | 2019-06-28 |
| 1124599907 | Amanda D Heppner | Massage Therapist | 221 W. Wynooche Ave, Unit B, Montesano, WA 98563 | 2018-12-05 |
| 1841765641 | Mindy Ann Lewis | Nurse Practitioner | 319 East Pioneer Avenue, Montesano, WA 98563 | 2018-10-08 |
| 1346737145 | Sara Stange | Occupational Therapy Assistant | 800 Medcalf St., Montesano, WA 98563 | 2018-04-17 |
| 1811403751 | Gunter & Messick Dds Pllc | Dentist | 208 E. Broadway, Montesano, WA 98563 | 2017-12-14 |
| 1124493739 | Janet Hanson | Occupational Therapy Assistant | 800 Medcalf Street, Montesano, WA 98563 | 2015-12-08 |
| 1427420678 | Chona Lorico | Dietitian, Registered | 975 N Stephenson Dr, Montesano, WA 98563 | 2015-10-28 |
| 1558792697 | Kathleen Marie Schaeffer | Occupational Therapist | 1216 Fair View Lane East, Unit 1, Montesano, WA 98563 | 2013-11-27 |
| Find all providers in zip 98563 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725245 | Angela De Cannady | Nurse Practitioner | 5 Scenic Pl, Montesano, WA 98563-9731 | 2019-08-11 |
| 1841765641 | Mindy Ann Lewis | Nurse Practitioner | 319 East Pioneer Avenue, Montesano, WA 98563 | 2018-10-08 |
| 1891312526 | Jacqueline Flowers | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2020-06-29 |
| 1649800426 | Kerbie Salvador A Barrantes | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2020-01-22 |
| 1073939427 | Kgp LLC | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2014-03-10 |
| 1467673376 | Kathryn Ann Lewis | Nurse Practitioner | 101 E Broadway Ave, Montesano, WA 98563-3703 | 2007-05-01 |
| 1649330333 | Judith J Miller | Nurse Practitioner | 103 E Broadway Ave, Montesano, WA 98563-3703 | 2006-12-11 |
| 1104995596 | Karen Lisa Arndt | Nurse Practitioner | 112 E Broadway Ave, Montesano, WA 98563-3704 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
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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.