MS. JULIE BETH PETERSON (NPI# 1952423006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952423006 |
| Entity Type | Individual |
| Full Name | MS. JULIE BETH PETERSON |
| Credential | NP |
| Practice Address |
2711 Randolph Rd Ste 400 Charlotte NC 28207-2027 |
| Mailing Address |
1300 Baxter St Ste 215 Charlotte NC 28204-3801 |
| Practice Telephone | 7043482992 |
| Practice Fax Number | 7049710035 |
| Mailing Telephone | 7043320392 |
| Mailing Fax Number | 7049710035 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3171 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5003500 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538633888 | Julie Peterson | Occupational Therapy Assistant | 1050 Drake Dr, Bridge City, TX 77611-4622 | 2019-01-18 |
| 1316361306 | Julie Peterson | Speech-Language Pathologist | 934 Saffron Ln, Milford, OH 45150-5569 | 2014-02-11 |
| 1689015992 | Julie A Peterson | Psychologist | 1500 Eisenhower Ln Ste 900, Lisle, IL 60532-2135 | 2013-07-15 |
| 1285870543 | Julie A Peterson | Specialist/Technologist, Other | 796 S Owens Ct, Lakewood, CO 80226-3840 | 2008-12-16 |
| 1467644112 | Julie Marie Peterson | Audiologist | 6121 Secrest Ct, Arvada, CO 80403-7501 | 2007-08-16 |
| 1770607277 | Julie Anne Peterson | Occupational Therapist | 416 Rondelay Dr, Durham, NC 27703-9223 | 2007-03-19 |
| 1629035167 | Julie Peterson | Chiropractor | 7504 86th Street Sw, Suite 150, Vital Family Chiropractic, Lakewood, WA 98498 | 2006-04-27 |
| 1215924279 | Julie Peterson | Physical Therapist | 1140 Edwards Village Blvd B208, Edwards, CO 81632-4828 | 2005-10-04 |
| 1982608907 | Julie L Peterson | Pediatrics | 4633 E Chandler Blvd, Ste 100, Phoenix, AZ 85048-0431 | 2005-06-08 |
| 1194356295 | Julie Lynn Peterson | Speech-Language Pathologist | 2209 Barchetta Dr, Las Vegas, NV 89134-6028 | 2020-01-28 |
| Street Address |
2711 RANDOLPH RD STE 400 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144247750 | Adit S Mahale | Internal Medicine | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2006-07-17 |
| 1750922118 | Vidhi Kishor Patel | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2019-10-07 |
| 1346752375 | Dianne Sinclair Audette | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2017-10-31 |
| 1780031971 | Andrew Joseph Norris | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2016-05-18 |
| 1265803399 | Shannon Millsaps Lang | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2015-10-15 |
| 1902292667 | Emily Simoneau | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1992312433 | Jean L. Caroline Clippard | Nurse Practitioner | 7149 Wessynton Dr, Charlotte, NC 28226-7548 | 2020-09-29 |
| 1790393676 | Alana Weldon | Nurse Practitioner | 10042 Park Cedar Dr, Charlotte, NC 28210-8916 | 2020-07-16 |
| 1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
| 1740809599 | Nina Cherry Arnold | Nurse Practitioner | 8914 Cotton Press Rd, Charlotte, NC 28277-6676 | 2020-04-13 |
| 1619509197 | Clinica San Antonio Pllc | Nurse Practitioner | 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 | 2020-02-12 |
| 1720626773 | Grace Barrosa Genetiano | Nurse Practitioner | 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685 | 2019-12-19 |
| 1376181081 | Crystal Delgado Calayag Frantilla | Nurse Practitioner | 4206 Craig Ave, Charlotte, NC 28211-3110 | 2019-12-12 |
| 1962059428 | Jerome Virgil Whitlow II | Nurse Practitioner | 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2019-08-20 |
| 1053978213 | Katie Lynn Sass | Nurse Practitioner | 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 | 2019-05-23 |
| Find all providers in CHARLOTTE | ||||
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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.