DR. SALLY ERNST PETERSON (NPI# 1881244721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881244721 |
| Entity Type | Individual |
| Full Name | DR. SALLY ERNST PETERSON |
| Practice Address |
3025 Misty Glen Dr Redding CA 96001-5719 |
| Practice Telephone | 5302469505 |
| Practice Fax Number | 5302469505 |
| Mailing Telephone | 5302469505 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
CA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137087 | Sally Kate Peterson | Social Worker | 867 Auburn Ct, Highland Park, IL 60035-1123 | 2019-01-07 |
| 1821327263 | Sally Peterson | Licensed Practical Nurse | W4054 Linden Dr, Malone, WI 53049-1694 | 2009-12-14 |
| 1093375453 | Sally Ann Peterson | Emergency Medicine | 701 Grove Rd, Greenville, SC 29605-4210 | 2019-06-18 |
| 1750838942 | Sally Peterson | Social Worker | 3160 Camino Del Rio S, #304, San Diego, CA 92108-3813 | 2016-09-06 |
| 1568568442 | Sally Ann Peterson | Speech-Language Pathologist | 2705 Enloe St, Hudson, WI 54016-8173 | 2006-09-16 |
| Street Address |
3025 MISTY GLEN DR |
| City | REDDING |
| State | CA |
| Zip Code | 96001-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501525 | Michelle Gracie Moreno | Technician | 10125 Frazier Rd, Redding, CA 96003-9241 | 2020-02-29 |
| 1255974812 | Alicia Renae Abramenko | Technician | 617 Loma Vista Dr, Redding, CA 96002-3115 | 2019-10-25 |
| 1396388534 | Rebecca Ann Lee | Technician | 6489 Lucerne Ct, Redding, CA 96001-5054 | 2019-10-21 |
| 1538700349 | Judy Lyn Lee | Technician | 21299 Old 44 Dr, Redding, CA 96003-7987 | 2019-10-02 |
| 1891338992 | Nancy Sesher | Technician | 6489 Lucerne Ct, Redding, CA 96001-5054 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487691 | Hine Maumalanga | Technician | 1094 Folsom Ave, Hayward, CA 94544-5704 | 2020-11-05 |
| 1649871765 | Charles Leroy Appleberry II | Technician | 1100 S Chester Ave, Compton, CA 90221-4312 | 2020-11-04 |
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1083212476 | Christina Elisabeth Brunn | Technician | 2818 Huxley Pl, Fremont, CA 94555-1416 | 2020-10-16 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1730795543 | Corina Rochelle Burch | Technician | 3706 Calavo Dr, Spring Valley, CA 91977-1903 | 2020-09-17 |
| 1033724729 | Cinta Latrece Moore | Technician | 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 | 2020-09-10 |
| 1598379398 | Trina Diane Brown | Technician | 115 W Zane St, Long Beach, CA 90805-6327 | 2020-08-31 |
| 1437760766 | Jeri Lyn Allen-smith | Technician | 9228 Allano Way, Santee, CA 92071-2202 | 2020-08-11 |
| 1750991667 | Natalie Mari Norman | Technician | 5013 Englewood Dr, San Jose, CA 95129-4232 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.