KRISTY A PETERSON (NPI# 1801373857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801373857 |
| Entity Type | Individual |
| Full Name | KRISTY A PETERSON |
| Credential | CST |
| Practice Address |
2845 Greenbrier Rd Green Bay WI 54311-6519 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888280 |
| Practice Fax Number | 9202888285 |
| Mailing Telephone | 9204909046 |
| Mailing Fax Number | 9204055388 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427572981 | Kristy May Peterson | Social Worker | 238 27th St, Ogden, UT 84401-3602 | 2017-07-26 |
| Street Address |
2845 GREENBRIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1659978872 | Molly Linzmeier | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-10-01 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1700413283 | Michelle Yvonne Degrave | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-25 |
| 1588299697 | Amanda Marie Steinfeldt | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-09 |
| 1659906113 | Kelly Jane Delzer | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-05 |
| 1750915815 | Jennifer Maronek | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-27 |
| 1538792379 | Sierra R Milosch | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-20 |
| 1205473584 | Mackenzie L Zuleger | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-12-05 |
| 1588214860 | Jessica S Thompson | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396080214 | Amber Nicole Golden | Specialist/Technologist, Other | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2012-12-04 |
| 1487973384 | Christinia M Casper | Specialist/Technologist, Other | 1537 Park Pl, Suite 200, Green Bay, WI 54304-1974 | 2010-05-18 |
| 1699005868 | Laura A Larscheid | Specialist/Technologist, Other | 1715 Dousman St, Green Bay, WI 54303-3211 | 2010-01-11 |
| 1609011121 | Desiree Motiff | Specialist/Technologist, Other | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731161 | Shannon Lori Marohl | Specialist/Technologist, Other | 1818 N Meade St # 240, Appleton, WI 54911-3454 | 2018-08-22 |
| 1780178137 | Dana Schmidt | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2018-06-19 |
| 1679950315 | Donnie Henderson | Specialist/Technologist, Other | 733 Copernicus Way, Madison, WI 53718-3098 | 2015-05-01 |
| 1922349935 | Rebecca Joan Kiekhoefer | Specialist/Technologist, Other | 416 S Lincoln Dr, Howards Grove, WI 53083-1243 | 2013-03-15 |
| 1952648222 | Kh Surgical Assisting, LLC | Specialist/Technologist, Other | N115w20014 N Woodland Dr., Germantown, WI 53022-2926 | 2013-01-07 |
| 1184983421 | Conrad Christopher Botz II | Specialist/Technologist, Other | 1357 Pheasant Run, New Richmond, WI 54017-4501 | 2012-05-07 |
| 1952625642 | Mary B. Luberda | Specialist/Technologist, Other | 143 Acreview Dr, De Pere, WI 54115-3655 | 2010-03-24 |
| 1457504110 | Jason D. Schillinger | Specialist/Technologist, Other | 5200 Humingbird Road, Suite 100, Wausau, WI 54401 | 2008-10-28 |
| 1558344663 | Rhonda Catherine Mayne | Specialist/Technologist, Other | 833 S Iowa St, Suite 104, Dodgeville, WI 53533-1900 | 2005-11-22 |
| 1093370363 | Janene M Ray | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2019-05-02 |
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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.