TAYLOR PETERSON (NPI# 1962024265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962024265 |
| Entity Type | Individual |
| Full Name | TAYLOR PETERSON |
| Practice Address |
4461 E 150 S Lagro IN 46941-9432 |
| Practice Telephone | 2605718608 |
| Mailing Telephone | 2605718608 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657745 | Taylor Peterson | Physician Assistant | 761 Johnsonburg Rd Ste A, Saint Marys, PA 15857-3483 | 2018-07-31 |
| 1811475239 | Taylor Cole Peterson | Dentist | 27132 Main St # 200, Conifer, CO 80433-8511 | 2018-07-30 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1619590569 | Taylor Peterson | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-05-27 |
| 1821643040 | Taylor Noelle Peterson | Social Worker | 1030 5th Ave Se Ste 3000, Cedar Rapids, IA 52403-2416 | 2019-08-05 |
| 1003262460 | Taylor Peterson | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2016-05-04 |
| 1598173460 | Taylor Peterson | Speech-Language Pathologist | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2014-07-23 |
| Street Address |
4461 E 150 S |
| City | LAGRO |
| State | IN |
| Zip Code | 46941-9432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728951 | Matthew David Miller | Student in an Organized Health Care Education/Training Program | 5369 E 50 S, Lagro, IN 46941-9434 | 2018-11-02 |
| 1821518234 | Katherine Stephan | Physical Therapy Assistant | 7047 E Blue Star Hwy, Lagro, IN 46941-9460 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728951 | Matthew David Miller | Student in an Organized Health Care Education/Training Program | 5369 E 50 S, Lagro, IN 46941-9434 | 2018-11-02 |
| 1821518234 | Katherine Stephan | Physical Therapy Assistant | 7047 E Blue Star Hwy, Lagro, IN 46941-9460 | 2017-06-27 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133894 | Kaylin Michelle Lapel | Physician Assistant | 1540 Orchard Park Dr N, Carmel, IN 46280-1513 | 2020-11-01 |
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1417555996 | Kathleen Wiles | Physician Assistant | 3805 Pine Creek Cir, New Albany, IN 47150-2057 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1275148421 | James Cameron Fields | Physician Assistant | 532 Bridgestone Dr, Mooresville, IN 46158-7304 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
| 1104438944 | Erin R Griffin | Physician Assistant | 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 | 2020-08-22 |
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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.