STEPHEN PETERSON (NPI# 1891964706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
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 |
Street Address |
2650 W BROADWAY |
City | LOUISVILLE |
State | KY |
Zip Code | 40211-1333 |
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 |
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 |
Find all providers in zip 40211 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
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] |
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 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40211 |
Please comment or provide details below to improve the information on STEPHEN PETERSON.
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.