ANDREA LYNN PETERSEN (NPI# 1851429211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851429211 |
| Entity Type | Individual |
| Full Name | ANDREA LYNN PETERSEN |
| Credential | C.A.T.C. |
| Practice Address |
720 Wood St Eureka CA 95501-4413 |
| Mailing Address |
1790 Oakdale Dr Mckinleyville CA 95519-7125 |
| Practice Telephone | 7072682990 |
| Mailing Telephone | 7078392987 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
040962 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083382 | Andrea Nicole Petersen | Registered Nurse | 2410 S Limit Ave, Sedalia, MO 65301-6910 | 2020-08-14 |
| 1093163743 | Andrea Petersen | Social Worker | 103 Caroline Ct, Beaver Dam, WI 53916-1833 | 2016-06-02 |
| 1396209094 | Andrea Petersen | Early Intervention Provider Agency | 7000 Austin St, Forest Hills, NY 11375-1022 | 2019-01-27 |
| 1508344466 | Andrea Margo Petersen | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2018-08-02 |
| 1063854669 | Andrea Rae Petersen | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 | 2013-07-24 |
| 1326306721 | Andrea Klunder Petersen | Medical Genetics | 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 | 2012-04-24 |
| 1952608358 | Andrea Leigh Petersen | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-21 |
| 1669661559 | Andrea R Petersen | Dietitian, Registered | 2600 65th Avenue, Osceola, WI 54020-3024 | 2007-10-17 |
| Street Address |
720 WOOD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646521 | Janese Charpentier | Nurse Practitioner | 720 Wood St, Eureka, CA 95501-4413 | 2006-04-05 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| 1164029534 | Laura Tansley Conger | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1679170120 | Robert William Williams | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1144827049 | James Rager Anderson | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-04 |
| 1710593173 | Jody Swan | Student in an Organized Health Care Education/Training Program | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-21 |
| 1669088340 | Eric Hall | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-18 |
| 1073127403 | Christiane Desir | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-02 |
| 1093325508 | Edmund Sanez Lao | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-08-09 |
| 1730799180 | Robert Christopher Amerman | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784707 | Tiffany Cherie Hall | Counselor | 1219 10th St, Eureka, CA 95501-2024 | 2020-06-12 |
| 1053945527 | Gayla Carol Judd | Counselor | 944 N St, Eureka, CA 95501-2045 | 2020-02-24 |
| 1750913646 | Donald Ray Rivers | Counselor | 1024 N St, Eureka, CA 95501-2047 | 2020-02-07 |
| 1619455680 | Melina Jane Gold | Counselor | 2107 1st St, Eureka, CA 95501-0840 | 2018-08-01 |
| 1265921639 | Glacier Clinic LLC | Counselor | 99 Mills Spring Rd Ste 1, Eureka, MT 59917 | 2018-05-01 |
| 1376057182 | North Coast Substance Abuse Council | Counselor | 1205 Myrtle Ave, Eureka, CA 95501-1224 | 2017-12-01 |
| 1710126347 | Lisa C Silva | Counselor | 2734 Hubbard Lane, Eureka, CA 95501 | 2009-02-04 |
| 1245368331 | Eric Helland Nelson | Counselor | 3940 Cedar St, Eureka, CA 95503-7615 | 2007-03-01 |
| 1326003344 | Eric John Larson | Counselor | 109 E Eureka, Eureka, IL 61530 | 2006-04-20 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| Find all providers in EUREKA | ||||
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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.