HEIDI JANE PETERSON (NPI# 1891706776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891706776 |
Entity Type | Individual |
Full Name | HEIDI JANE PETERSON |
Credential | CRNA |
Practice Address |
2516 N Ozark Ave Joplin MO 64801-4716 |
Practice Telephone | 4177828417 |
Mailing Telephone | 4177828417 |
Enumeration Date | 2006-08-10 |
Last Update Date | 2014-04-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 367500000X | Nurse Anesthetist, Certified Registered | 54629 | KS | Physician Assistants & Advanced Practice Nursing Providers |
N | 367500000X | Nurse Anesthetist, Certified Registered | C01138 | AR | Physician Assistants & Advanced Practice Nursing Providers |
N | 367500000X | Nurse Anesthetist, Certified Registered | 100802 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | R0053014 | OK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100786900A | 05 | |
MO | 919696567 | 05 | |
AR | 152776701 | 05 | |
MO | 919696534 | 05 | |
OK | 200468380N | 05 | |
MO | 500156005 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447722194 | Heidi Peterson | Counselor | 324 S Atlantic St, Dillon, MT 59725-2719 | 2018-12-19 |
1437385390 | Heidi Nicole Peterson | Massage Therapist | 16404 Smokey Point Blvd Ste 307, Arlington, WA 98223-8417 | 2009-06-05 |
1689729162 | Heidi Jane Peterson | Pharmacist | 3250 Us41 West, Marquette, MI 49855 | 2007-01-24 |
1558380600 | Heidi Habicht Peterson | Family Medicine | 230 Washington Street, South Attleboro, MA 02703 | 2006-07-19 |
1831528702 | Heidi Peterson | Occupational Therapist | 5412 Us Highway 10 E, Stevens Point, WI 54482-8559 | 2013-11-01 |
1861777955 | Heidi J Peterson | Social Worker | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2011-10-20 |
1770606105 | Heidi Jill Peterson | Specialist/Technologist | 505 E 3rd Ave, Spokane, WA 99202-1426 | 2007-04-09 |
1578681995 | Heidi J Peterson | Nurse Practitioner | 1412 Main Street, Hawley, MN 56549 | 2007-03-26 |
1114003282 | Heidi Belinda Peterson | Naturopath | 4031 Se Hawthorne Blvd, Portland, OR 97214-5243 | 2006-10-31 |
1770687220 | Heidi Peterson | Social Worker | Anna Marsh Lane, Brattleboro, VT 05302 | 2006-09-12 |
Street Address |
2516 N OZARK AVE |
City | JOPLIN |
State | MO |
Zip Code | 64801-4716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
Find all providers in zip 64801 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689108839 | Todd Aaron Macdonald | Nurse Anesthetist, Certified Registered | 2119 Highlander Dr, Joplin, MO 64804-7005 | 2017-04-14 |
1659635217 | Neal R. Popichak | Nurse Anesthetist, Certified Registered | 102 West 32nd St., Joplin, MO 64804-0000 | 2012-06-28 |
1295046720 | Wayne R Alongi | Nurse Anesthetist, Certified Registered | 4213 Wisconsin, Joplin, MO 64804-5806 | 2010-06-30 |
1851622849 | Jessica Louann Rush | Nurse Anesthetist, Certified Registered | 3522 Norman Dr, Joplin, MO 64804-4057 | 2010-01-15 |
1982650305 | Jennifer L Cronenwett | Nurse Anesthetist, Certified Registered | 1531 E 32nd St Ste 6, Joplin, MO 64804-9810 | 2006-05-26 |
1568417517 | Curt B Carlisle | Nurse Anesthetist, Certified Registered | 15 Woodcrest Dr, Joplin, MO 64804-5828 | 2006-05-24 |
1255386934 | Robert Eugene Mccain | Nurse Anesthetist, Certified Registered | 1102 West 32nd Street, Joplin, MO 64804 | 2006-05-23 |
1336193622 | Carolyn Elmborg | Nurse Anesthetist, Certified Registered | 5752 Ridge Trl, Joplin, MO 64804-9506 | 2006-05-20 |
1528035144 | Phyllis Knickerbocker | Nurse Anesthetist, Certified Registered | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2006-03-02 |
1053382929 | Four States Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1905 West 32nd Street, Suite #201, Joplin, MO 64804 | 2006-01-30 |
Find all providers in JOPLIN |
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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.