KYLE PETERSON (NPI# 1972078251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972078251 |
| Entity Type | Individual |
| Full Name | KYLE PETERSON |
| Practice Address |
20 1st St Sw Ste 250 Minot ND 58701-3851 |
| Mailing Address |
Po Box 9859 Fargo ND 58106-9859 |
| Practice Telephone | 7018523328 |
| Practice Fax Number | 6519250057 |
| Mailing Telephone | 7014514900 |
| Mailing Fax Number | 6519250057 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
980-10-15-18A | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457191 | Kyle Peterson | Acupuncturist | 5470 Cameron Ellis Dr, Apartment 101, Westerville, OH 43081-9031 | 2017-03-08 |
| 1952709404 | Kyle Peterson | Specialist/Technologist | 1741 Dehn St, Burlington, IA 52601-2115 | 2014-12-16 |
| 1417584541 | Kyle S Peterson | Registered Nurse | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-03-26 |
| 1780210559 | Kyle Peterson | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2020-03-12 |
| 1417256272 | Kyle S. Peterson | Podiatrist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2011-03-19 |
| 1285947259 | Kyle W. Peterson | Dentist | 609 22nd St, Moline, IL 61265-1450 | 2010-07-20 |
| 1922335199 | Kyle David Peterson | Emergency Medicine | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2009-11-10 |
| 1689610818 | Kyle K Peterson | Nurse Anesthetist, Certified Registered | 8990 Springbrook Dr Nw, Coon Rapids, MN 55433-5850 | 2006-06-22 |
| Street Address |
20 1ST ST SW STE 250 |
| City | MINOT |
| State | ND |
| Zip Code | 58701-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831420322 | Georgina A Mccann | Social Worker | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2010-01-22 |
| 1083212138 | Kate Turnbow | Counselor | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2020-10-12 |
| 1427680156 | Lorea Jean Watson | Counselor | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2020-02-11 |
| 1164918082 | Chasity M Davidson | Social Worker | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2018-07-03 |
| 1952840688 | Tammy Sattler | Marriage & Family Therapist | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2017-02-14 |
| 1134582042 | Stephanie Cummins | Counselor | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2016-03-30 |
| 1427424894 | Manhattan Jehlicka | Social Worker | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2015-08-19 |
| 1912324997 | Mallary Schaefer Anderson | Marriage & Family Therapist | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2014-03-27 |
| 1225377120 | Kelley Halter | Counselor | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2013-02-12 |
| 1336424233 | Brandy Lynn Childress | Counselor | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2011-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942755145 | Maggie Bohannon | Counselor | 24 Main St N Ste E, Minot, ND 58703-3104 | 2016-08-18 |
| 1861680548 | Robert Buster Edwards Jr. | Counselor | 1000 3rd St Ne, Minot, ND 58703-2477 | 2007-10-09 |
| 1083212138 | Kate Turnbow | Counselor | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2020-10-12 |
| 1427680156 | Lorea Jean Watson | Counselor | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2020-02-11 |
| 1174155501 | Paul Y Mccormack | Counselor | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-02-04 |
| 1154967016 | Matthew Stewart Baumgartner | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2019-11-25 |
| 1841847787 | Melissa Nicole Naslund | Counselor | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2019-08-26 |
| 1932670429 | Bohannon Professional Counseling, Pllc | Counselor | 24 Main St N Ste E, Minot, ND 58703-3104 | 2018-12-10 |
| 1740769496 | Taylor Keller | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2018-08-13 |
| 1750779070 | Bryan F Daniel | Counselor | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2015-01-09 |
| Find all providers in MINOT | ||||
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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.