MISS ASHLEY ELIZABETH PETERSEN (NPI# 1790233724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790233724 |
| Entity Type | Individual |
| Full Name | MISS ASHLEY ELIZABETH PETERSEN |
| Practice Address |
2130 Stockton Blvd Bldg 300 Sacramento CA 95817-1337 |
| Practice Telephone | 9165202460 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1947 N California St Ste B, Stockton, CA 952046029 | 2094630870 | |
| 4801 34th St, Sacramento, CA 958204849 | 9167379202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326202516 | Ashley Marie Petersen | Behavioral Analyst | 32 Main St Ste D, Park Ridge, IL 60068-4060 | 2008-07-16 |
| 1184192353 | Ashley Petersen | Counselor | 106 16th St Sw, Waverly, IA 50677-2822 | 2018-11-06 |
| 1548774391 | Ashley Petersen | Social Worker | 686 Nw 9th St, Ontario, OR 97914-1600 | 2017-11-30 |
| 1295090595 | Ashley Rosemarie Petersen | Speech-Language Pathologist | 3300 Running Creek Way, Building B Suite 150, Lehi, UT 84043-5563 | 2012-07-12 |
| 1003058579 | Ashley Anne Petersen | Pediatrics | 30011 E State Highway 51, Coweta, OK 74429-7681 | 2009-03-30 |
| 1104035716 | Ashley Vonee Petersen | Counselor | 303 Jackson Hill St, Houston, TX 77007-7407 | 2007-05-21 |
| Street Address |
2130 STOCKTON BLVD BLDG 300 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871847913 | Matthew Gerolamo | Social Worker | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2012-10-27 |
| 1568060507 | Vanessa Ann Stash | Social Worker | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2020-10-13 |
| 1972124873 | Christine Joy Hu | Student in an Organized Health Care Education/Training Program | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2020-05-01 |
| 1760019525 | Ilianna Ramos | Social Worker | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2020-03-23 |
| 1063051571 | Elizabeth M Simpson | Social Worker | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2019-12-31 |
| 1285276154 | Joanna Coco De La Cruz | Licensed Vocational Nurse | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2019-10-11 |
| 1528600491 | Katrina Whiteside | Student in an Organized Health Care Education/Training Program | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2019-10-11 |
| 1710537378 | Kierra-mae Boykin | Marriage & Family Therapist | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2019-09-16 |
| 1194389197 | Reema Singh | Student in an Organized Health Care Education/Training Program | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2019-04-24 |
| 1609335033 | Alison Elaine Barnard | Peer Specialist | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2019-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1811504533 | Joanna Ortega | Student in an Organized Health Care Education/Training Program | 3956 2nd Ave Unit C, Sacramento, CA 95817-3006 | 2020-09-27 |
| 1922615632 | Joshua Bloomstein | Student in an Organized Health Care Education/Training Program | 4610 X St # 6, Sacramento, CA 95817-2200 | 2020-09-26 |
| 1528674892 | Ariela Mascarinas | Student in an Organized Health Care Education/Training Program | 5131 Andrea Blvd Apt 27, Sacramento, CA 95842-2512 | 2020-09-21 |
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1053921569 | Asha Rachel Ellman-kassing | Student in an Organized Health Care Education/Training Program | 3053 Freeport Blvd # 427, Sacramento, CA 95818-4346 | 2020-08-10 |
| 1972113066 | Keely Rodriguez | Student in an Organized Health Care Education/Training Program | 18 Outer Banks Pl, Sacramento, CA 95835-2469 | 2020-08-04 |
| 1639788425 | Duy Nguyen | Student in an Organized Health Care Education/Training Program | 4101 Innovator Dr Apt 626, Sacramento, CA 95834-3861 | 2020-07-28 |
| 1023626314 | Veronica Gabriella Garcia Spandler | Student in an Organized Health Care Education/Training Program | 1510 16th St Apt 513, Sacramento, CA 95814-6041 | 2020-07-22 |
| 1235755620 | Hannah Greeley | Student in an Organized Health Care Education/Training Program | 4851 Kokomo Dr Apt 7523, Sacramento, CA 95835-1846 | 2020-06-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on MISS ASHLEY ELIZABETH PETERSEN.
| 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.