ANDERS PETERSON (NPI# 1790393825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790393825 |
| Entity Type | Individual |
| Full Name | ANDERS PETERSON |
| Practice Address |
4500 N Lewis Ave Sioux Falls SD 57104-7111 |
| Practice Telephone | 6053222980 |
| Mailing Telephone | 6053222980 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CP001775 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4500 N LEWIS AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-7111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619989605 | Janell L Simpkins | Emergency Medicine | 4500 N Lewis Ave, Sioux Falls, SD 57104 | 2006-08-11 |
| 1700499936 | Avera Mckennan | Psychiatry & Neurology | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-08-27 |
| 1902417983 | Ephrem Tadesse Bejiga | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-08-12 |
| 1982231510 | Collin Jansen Block | Social Worker | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-03-24 |
| 1245886746 | Mitchell Jacob Relf | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2019-08-12 |
| 1073167953 | Kenna Lyn Kennedy | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2019-07-29 |
| 1548733116 | Jacklyn Genzlinger | Social Worker | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2019-01-07 |
| 1134619596 | Jennifer Marie Prouty | Social Worker | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2018-05-11 |
| 1639694532 | Anasara Henry | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2017-08-11 |
| 1033539937 | Adam Peterson | Psychiatry & Neurology | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2014-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| 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 |
|---|---|---|---|---|
| 1437155132 | Family Institute of The Midwest | Nurse Practitioner | 520 W 22nd St, Sioux Falls, SD 57105-1702 | 2005-06-27 |
| 1609494483 | Hannah Otten | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2020-07-08 |
| 1245886746 | Mitchell Jacob Relf | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2019-08-12 |
| 1073167953 | Kenna Lyn Kennedy | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2019-07-29 |
| 1124530860 | Ashley Lynn Jansen | Nurse Practitioner | 4510 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2017-11-03 |
| 1538529904 | Thyra Crissey | Nurse Practitioner | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2016-02-29 |
| 1598131831 | Amber Marie Reints | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2015-08-20 |
| 1699163253 | Nichole Johnson | Nurse Practitioner | 2400 W 49th St, Sioux Falls, SD 57105-6581 | 2015-01-06 |
| 1205144854 | Tracee A. Hofer | Nurse Practitioner | 4400 W. 69th St., Ste. 1500, Sioux Falls, SD 57108-8171 | 2010-09-16 |
| 1174711840 | Garneth Kuiper | Nurse Practitioner | 4400 W 69th St, Ste. 1500, Sioux Falls, SD 57108-8170 | 2007-10-09 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
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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.