SCOTT KERMIT PETERSON (NPI# 1801436787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801436787 |
| Entity Type | Individual |
| Full Name | SCOTT KERMIT PETERSON |
| Credential | RN |
| Practice Address |
30681 Olson St Apt 2 Pequot Lakes MN 56472-3081 |
| Practice Telephone | 2188385363 |
| Mailing Telephone | 2188385363 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 2377139 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619413093 | Scott T Peterson | Dentist | 5235 W Baseline Rd, #187, Laveen, AZ 85339-3122 | 2017-01-10 |
| 1427202266 | Scott Andrew Peterson | Social Worker | 2000 Dry Valley Road, Loa, UT 84747 | 2008-11-06 |
| 1336398783 | Scott Allen Peterson | Occupational Therapist | 8765 Blue Pine Way, Reno, NV 89523-3843 | 2008-09-10 |
| 1013034842 | Scott L. Peterson | Counselor | 11011 S 48th St Ste 200, Phoenix, AZ 85044-1788 | 2007-03-25 |
| 1033126974 | Scott Michael Peterson | Specialist/Technologist | Lemoyne College Sports Medicine, 1419 Salt Springs Road, Syracuse, NY 13214-1399 | 2006-08-02 |
| 1750351441 | Scott David Peterson | Optometrist | 3988 Washington Blvd, Ogden, UT 84403-1826 | 2006-01-25 |
| 1649250242 | Scott M Peterson | Obstetrics & Gynecology | 3300 W Centre Ave, Bronson Ob Gyn Associates, Portage, MI 49024-4666 | 2006-01-19 |
| 1457917627 | Scott Jeffrey Peterson | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2019-05-14 |
| 1598121808 | Scott Peterson | Ophthalmology | 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630 | 2016-01-04 |
| 1720492655 | Scott Peterson | Marriage & Family Therapist | 1880 River Rd, Grand Rapids, MN 55744-4085 | 2014-06-18 |
| Street Address |
30681 OLSON ST APT 2 |
| City | PEQUOT LAKES |
| State | MN |
| Zip Code | 56472-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837698 | Bpoint Pharmacy Services Ltd | Pharmacy | 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 | 2019-02-14 |
| 1477930006 | Senior Class Care of Pequot Lakes, Inc. | Assisted Living Facility | 8898 Schaller Road, Pequot Lakes, MN 56472 | 2015-05-04 |
| 1831440312 | Jeevan Singh Dhouni | Pharmacist | 30103 Osceola Circle, Breezy Point, MN 56472 | 2012-09-25 |
| 1396918884 | John Kloster | Optometrist | 4461 Main St, Pequot Lakes, MN 56472 | 2008-04-07 |
| 1326222811 | Senior Class Home Health Care LLC | Home Health | 30849 1st Street, Pequot Lakes, MN 56472 | 2007-12-20 |
| 1598979940 | Loy Pfeiffer Inc | Pharmacy | 30984 Government Drive, Pequot Lakes, MN 56472 | 2007-05-09 |
| 1972656411 | Access Home Care, LLC | Home Health | 30392 Suffolk Circle, Pequot Lakes, MN 56472 | 2007-01-19 |
| 1427134428 | Joyce E. Neuman & Dean S. Brandt Ptrs. | Durable Medical Equipment & Medical Supplies | 4450 Main St, Pequot Lakes, MN 56472 | 2006-10-31 |
| 1326133786 | Ryan Dennis Buell | Chiropractor | 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | 2006-10-03 |
| 1376602656 | Pequot Lakes Chiropractic and Sports Injury Center P.a | Chiropractor | 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | 2006-12-06 |
| Find all providers in zip 56472 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870825 | Eyita Gaga | Registered Nurse | 848 2nd St Nw, Rochester, MN 55901-2773 | 2020-10-28 |
| 1841899150 | Sarah Nyandoro | Registered Nurse | 10635 Pond Curv, Woodbury, MN 55129-5810 | 2020-10-19 |
| 1679180988 | Louise Dybdahl | Registered Nurse | 1460 Montreal St Se, Hutchinson, MN 55350-3318 | 2020-09-30 |
| 1932716461 | Krista Ann Donabauer | Registered Nurse | 13620 302nd Ave Nw, Princeton, MN 55371-3728 | 2020-09-29 |
| 1427664721 | Casi Marie Short | Registered Nurse | 629 Eastgate Pkwy, Mahtomedi, MN 55115-1737 | 2020-09-22 |
| 1518572908 | Shannon Walsten | Registered Nurse | 216 Emory Ln Se, Rochester, MN 55904-8479 | 2020-09-11 |
| 1427663970 | Sheena Marie Fawn Buchholtz | Registered Nurse | 14962 Hillside Trl, Savage, MN 55378-3629 | 2020-09-11 |
| 1700490679 | Sophia Alexandra Erdahl | Registered Nurse | 15380 Cottonwood St Nw, Andover, MN 55304-8503 | 2020-09-08 |
| 1083228076 | Briann Minnig | Registered Nurse | 8116 158th St, Savage, MN 55378-6608 | 2020-09-07 |
| 1104430180 | Patience K Nixon | Registered Nurse | 1955 153rd Ln Nw, Andover, MN 55304-2591 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | PEQUOT LAKES |
| Zip Code | 56472 |
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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.