STEPHEN PETERSON


Address: 2650 W Broadway, Louisville, KY 40211-1333
Phone: 5025898600

STEPHEN PETERSON (NPI# 1891964706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891964706
Entity Type Individual
Full Name STEPHEN PETERSON
Practice Address 2650 W Broadway
Louisville
KY 40211-1333
Mailing Address 101 W Muhammad Ali Blvd
Louisville
KY 40202-1423
Practice Telephone 5025898600
Practice Fax Number 5025898771
Enumeration Date 2008-02-25
Last Update Date 2009-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers STEPHEN PETERSON

NPI Name Taxonomy Address Enumeration
1821562885 Stephen Lynn Peterson II Respiratory Therapist, Registered 1350 S Ellsworth Rd Apt 1122, Mesa, AZ 85209-2809 2019-01-13
1003284886 Stephen Peterson Counselor 7400 Metro Blvd Ste 220, Edina, MN 55439-2321 2015-09-09
1790161776 Stephen Peterson Social Worker 3708 Ashley Oaks Dr, Apt. D, Lafayette, IN 47905-4495 2015-07-31
1114331535 Stephen C Peterson Family Medicine 14 N 3rd Ave, Fruitport, MI 49415-8942 2014-06-13
1992897771 Stephen Dexter Peterson General Practice 185 E. 7th Ave., Suite D, Chico, CA 95926 2006-09-29
1164538021 Stephen W Peterson Dentist 206 Cypress St, Manistee, MI 49660-1700 2006-08-22
1720693617 Stephen Peterson Physical Therapist 3390 Saxonburg Blvd Ste 250, Glenshaw, PA 15116-3160 2020-09-09
1548659451 Stephen Peterson Physical Therapist 746 S Main Ave, Fallbrook, CA 92028-3333 2015-01-15
1801137377 Stephen Eugene Peterson Psychiatry & Neurology 428 W 42nd St, Kansas City, MO 64111-3176 2013-03-08
1629127915 Stephen P Peterson Family Medicine 146 E Geneva Sq, Lake Geneva, WI 53147-9694 2007-01-09

Office Location

Street Address 2650 W BROADWAY
City LOUISVILLE
State KY
Zip Code 40211-1333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558393306 Manoochehr Manshadi Psychiatry & Neurology 2650 W Broadway, Louisville, KY 40211-1333 2006-07-06
1083251763 Tonya Lynn Farris Nurse Practitioner 2650 W Broadway, Louisville, KY 40211-1333 2019-12-02
1962972810 Nakristia Alayne Pitts Social Worker 2650 W Broadway, Louisville, KY 40211-1333 2018-12-04
1346638004 Rachelle Jones Case Manager/Care Coordinator 2650 W Broadway, Louisville, KY 40211-1333 2015-01-05
1992136725 Hilary Harris Social Worker 2650 W Broadway, Louisville, KY 40211-1333 2013-12-04
1396183380 Jeffrey Yocom Social Worker 2650 W Broadway, Louisville, KY 40211-1333 2013-06-12
1245676006 Jennifer Taylor Case Manager/Care Coordinator 2650 W Broadway, Louisville, KY 40211-1333 2013-05-20
1154665552 Shannon O'donnell Case Manager/Care Coordinator 2650 W Broadway, Louisville, KY 40211-1333 2012-11-26
1316297260 Lauren D'ambrosio Social Worker 2650 W Broadway, Louisville, KY 40211-1333 2012-09-18
1841551801 Gemrita Anglin Case Manager/Care Coordinator 2650 W Broadway, Louisville, KY 40211-1333 2012-06-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942792940 Kare LLC Dentist 2500 W Broadway Ste 500, Louisville, KY 40211 2018-06-05
1265943716 Practicare Home Care Services, LLC Nurse Practitioner 1667 Russell Lee Dr, Louisville, KY 40211 2017-10-23
1518478221 Latoya Samantha Hall Counselor 646 South 36th Street, Louisville, KY 40211 2017-10-20
1003071200 Mark Cassol Md Psc Ophthalmology 2600 W. Broadway, Suite 105, Louisville, KY 40211 2008-07-28
1194919548 Hardin Housing Corp Assisted Living Facility 2035 S 41st St, Louisville, KY 40211 2007-08-29
1184770562 Eta Day Care Center LLC Case Management 724 So 44th Street, Louisville, KY 40211 2007-01-26
1871571356 Alice C Gunnison Physician Assistant 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 2006-01-05
1730733783 Mark A Bush Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-07-29
1407419237 Gina M Beckford Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-04-17
1730694266 Orchid House, Inc. Early Intervention Provider Agency 703 S 31st St, Louisville, KY 40211 2017-12-06
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922607605 Yasmeen Barnes Case Manager/Care Coordinator 10207 Allentree Pl, Louisville, KY 40229-2214 2020-10-22
1851914048 Ryon Piphus Case Manager/Care Coordinator 1169 Eastern Pkwy Ste 336, Louisville, KY 40217-1417 2020-05-21
1154969129 Michelle Rae Hicks Case Manager/Care Coordinator 1151 S 4th St Ste 208, Louisville, KY 40203-3101 2019-12-20
1992340699 Sharmika Berry Case Manager/Care Coordinator 3728 Chamberlain Ct, Louisville, KY 40241-1753 2019-11-17
1790320570 Yinethia Brown Case Manager/Care Coordinator 8425 Biggin Hill Ln, Louisville, KY 40220-4107 2019-11-15
1508412859 Erika Lynum Case Manager/Care Coordinator 3709 Modesto Rd, Louisville, KY 40299-1443 2019-08-13
1487215703 Flore Cogswell Case Manager/Care Coordinator 3301 Protege Pl Unit 102, Louisville, KY 40245-7731 2019-06-26
1699234849 Amanda Brown Case Manager/Care Coordinator 4405 Bridgeman Ct, Louisville, KY 40218-3039 2019-03-18
1629535430 Cynthia Sue Howard Case Manager/Care Coordinator 103 Wickfield Dr, Louisville, KY 40245-4054 2019-02-28
1669966966 David Lee Sullivan Jr. Case Manager/Care Coordinator 513 Cannons Ln, Louisville, KY 40207-3645 2018-06-20
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Competitor

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City LOUISVILLE
Zip Code 40211

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Dataset Information

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.

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