MS. PATTI JO PETERSON-BALLIET (NPI# 1932201795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932201795 |
| Entity Type | Individual |
| Full Name | MS. PATTI JO PETERSON-BALLIET |
| Credential | PNP |
| Practice Address |
9059 W Lake Pleasant Pkwy E-540 Peoria AZ 85382-8336 |
| Mailing Address |
2407 N 127th Ln Avondale AZ 85323-6576 |
| Practice Telephone | 6233223380 |
| Mailing Telephone | 6235364774 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20030451 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9059 W LAKE PLEASANT PKWY E-540 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093701286 | Sandhya Ravi | Pediatrics | 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382-8336 | 2005-09-22 |
| 1972154771 | Taylor Narducci | Pediatrics | 9059 W Lake Pleasant Pkwy, Peoria, AZ 85382-8336 | 2019-09-23 |
| 1144762626 | Holly Trygar | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-11-15 |
| 1275083024 | Trisha Amin | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-10-05 |
| 1720430960 | Melissa Flesch | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-07-12 |
| 1093172561 | Lake Pleasant Dentistry PC | Dentist | 9059 W Lake Pleasant Pkwy, Ste F 600, Peoria, AZ 85382-8336 | 2016-01-28 |
| 1225412737 | Veronica Leticia Elstro | Nurse Practitioner | 9059 W Lake Pleasant Pkwy, #c320, Peoria, AZ 85382-8336 | 2015-07-14 |
| 1588068472 | Elizabeth Tolman | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2014-10-21 |
| 1104230697 | Natassia Lynn Williamson | Nurse Practitioner | 9059 W Lake Pleasant Pkwy, Suite C-320, Peoria, AZ 85382-8336 | 2014-06-12 |
| 1700134806 | Elizabeth Rattle | Physician Assistant | 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382-8336 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721252 | Sarah Peterson | Nurse Practitioner | 2727 W Krause Ave, Unitypoint Health, In School Health At Harrison School, Peoria, IL 61605-2906 | 2013-11-21 |
| 1184696544 | Barbara L Johnston | Nurse Practitioner | 2338 N. Van Winkle Way, Suite 2200, Peoria, IL 61615 | 2006-02-01 |
| 1477189025 | Claudia Plumer | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-03-16 |
| 1972931640 | Manju Thomson | Nurse Practitioner | 10200 W Happy Valley Rd, Suite 125, Peoria, AZ 85383-2878 | 2013-10-16 |
| 1396183687 | Diana Warnecke | Nurse Practitioner | 420 Ne Glen Oak Ave, Ste 401, Peoria, IL 61603-3105 | 2013-06-07 |
| 1801162854 | Valley of The Sun Pediatrics, P.C. | Nurse Practitioner | 10200 W Happy Valley Rd, Ste 125, Peoria, AZ 85383-2878 | 2012-03-23 |
| 1972837003 | Monica Greenwald Dohrman | Nurse Practitioner | 7707 W Deer Valley Rd, Peoria, AZ 85382-2101 | 2009-09-22 |
| 1174772552 | Kristin A Kang | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2008-09-10 |
| 1679516561 | Melinda Henderson | Nurse Practitioner | 7801 N Knoxville Ave, Peoria, IL 61614-2076 | 2006-06-14 |
| 1699740902 | Kathryn Gensel | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 401, Dept. of Pediatrics, Peoria, IL 61603-3168 | 2006-02-21 |
| Find all providers in PEORIA | ||||
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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.