MS. SUZAN RAE PETERSON (NPI# 1912201526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912201526 |
| Entity Type | Individual |
| Full Name | MS. SUZAN RAE PETERSON |
| Credential | LPN |
| Practice Address |
6 Maple Wood Ln Unit 10 Madison WI 53704-3976 |
| Practice Telephone | 6082987328 |
| Practice Fax Number | 6082987328 |
| Mailing Telephone | 6082987328 |
| Mailing Fax Number | 6082987328 |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 19010-031 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528220795 | Suzan L Peterson | Physical Therapist | 360 Pioneer Rd, Weiser, ID 83672-1550 | 2008-06-30 |
| Street Address |
6 MAPLE WOOD LN UNIT 10 |
| City | MADISON |
| State | WI |
| Zip Code | 53704-3976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484716 | Taneeka Barfield | Licensed Practical Nurse | 168 Ne Gibson Trailer Park Way Lot 10, Madison, FL 32340-2825 | 2020-07-15 |
| 1033751177 | Bionca Buie | Licensed Practical Nurse | 810 Jupiter Dr Apt 304, Madison, WI 53718-2991 | 2019-10-10 |
| 1689135469 | Geraldine Clemons-walker | Licensed Practical Nurse | 2461 Old Camden Sq Apt 104, Madison, WI 53718-8012 | 2019-03-26 |
| 1417449638 | Ashley Renee Zander | Licensed Practical Nurse | 1715 Camus Ln Apt 7, Madison, WI 53705-1204 | 2018-06-04 |
| 1184151466 | Debra Cooks Boatman | Licensed Practical Nurse | 1062 Ne Reagan Rd, Madison, FL 32340-5541 | 2017-05-17 |
| 1972042018 | Shirley Haynes | Licensed Practical Nurse | 219 Sw Third Ave, Madison, FL 32340-2906 | 2017-02-22 |
| 1700329125 | Sheilakay Ann Jowett | Licensed Practical Nurse | 7530 Mid Town Rd Apt 108, Madison, WI 53719-3460 | 2016-12-02 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1114475225 | Jesse Willard | Licensed Practical Nurse | 1128 Morraine View Dr, Unit 301, Madison, WI 53719-3078 | 2016-09-18 |
| 1366809113 | Maria Joseph | Licensed Practical Nurse | 2925 Wimbledon Way, Madison, WI 53713-3427 | 2016-01-25 |
| Find all providers in MADISON | ||||
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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.