DR. PAMELA MARJORIE PETERSON (NPI# 1972674091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972674091 |
| Entity Type | Individual |
| Full Name | DR. PAMELA MARJORIE PETERSON |
| Credential | PHD, LP |
| Practice Address |
300 W Broadway Ste 1 Plainview MN 55964-1256 |
| Mailing Address |
314 Devin Dr Saint Charles MN 55972-1701 |
| Practice Telephone | 5074211064 |
| Practice Fax Number | 5079328556 |
| Mailing Telephone | 5074211064 |
| Mailing Fax Number | 5075233661 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3975 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 607316600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659996 | Pamela Sue Peterson | Counselor | 110 Reading Ave, Jonesville, MI 49250-1136 | 2017-06-23 |
| 1700330503 | Pamela Peterson | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802 | 2016-08-09 |
| 1871834614 | Pamela Peterson | Social Worker | 118 N 5th St, Oneill, NE 68763-1565 | 2013-03-04 |
| 1417204579 | Pamela Nichole Peterson | Behavioral Analyst | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2012-08-08 |
| 1609186709 | Pamela Diane Peterson | Massage Therapist | 1155 Ne Hogan Dr, Gresham, OR 97030-4129 | 2010-10-07 |
| 1871821777 | Pamela Eileen Peterson | Counselor | 287 6th St E, Suite 300, Saint Paul, MN 55101-1654 | 2009-12-03 |
| 1073656682 | Pamela B Peterson | Nurse Practitioner | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2007-02-14 |
| 1124121256 | Pamela C Peterson | Social Worker | 48 N Pleasant St, Suite 302, Amherst, MA 01002-1738 | 2006-09-06 |
| 1396851853 | Pamela N Peterson | Internal Medicine | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-08-21 |
| 1972516532 | Pamela Peterson | Registered Nurse | 945 Goethals Dr, Suite 200, Richland, WA 99352-3552 | 2006-08-14 |
| Street Address |
300 W BROADWAY STE 1 |
| City | PLAINVIEW |
| State | MN |
| Zip Code | 55964-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518052133 | James D Hiebert | Chiropractor | 323 W Broadway, Plainview, MN 55964-0665 | 2006-10-03 |
| 1770626467 | Plainview-elgin-millville Community School | Local Education Agency (LEA) | 500 W Broadway, Plainview, MN 55964-1031 | 2007-02-14 |
| 1417194176 | Kathryn Ann Flanagan | Occupational Therapist | 800 2nd Ave Nw, Plainview, MN 55964-1041 | 2009-01-16 |
| 1255942553 | Courtney Kirkeide | Physical Therapist | 800 2nd Ave Nw, Plainview, MN 55964-1041 | 2020-08-11 |
| 1659728186 | The Green Prairie Rehabilitation Center LLC | Skilled Nursing Facility | 810 2nd Ave Nw, Plainview, MN 55964-1090 | 2016-05-13 |
| 1386191013 | The Green Prairie Assisted Living LLC | Assisted Living Facility | 810 2nd Ave Nw, Plainview, MN 55964-1090 | 2016-09-11 |
| 1679568505 | Benedictine Care Centers | Skilled Nursing Facility | 800 2nd Avenue Nw, Plainview, MN 55964-1097 | 2005-09-16 |
| 1922507508 | Virtual Healthcare LLC | Nurse Practitioner | 415 7th St Sw, Plainview, MN 55964-1173 | 2018-02-08 |
| 1649214297 | Marilyn Wozney | Physician Assistant | 20 2nd Ave Nw, Plainview, MN 55964-1221 | 2006-06-15 |
| 1730249020 | City of Plainview | Ambulance | 241 W Broadway, Plainview, MN 55964-1253 | 2006-12-10 |
| Find all providers in zip 55964 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487081824 | Karen A Jason | Psychologist | 6 Linda Ln, Plainview, NY 11803-3118 | 2013-09-30 |
| 1043569197 | Brian S. Meyer | Psychologist | 35 Beaumont Drive, Plainview, NY 11803-2507 | 2012-09-05 |
| 1073775151 | Gayle B Neumann | Psychologist | 58 Birch Dr, Plainview, NY 11803-2821 | 2008-06-30 |
| 1487799748 | Edward Morvitz | Psychologist | 14 Gloria Pl, Plainview, NY 11803-6333 | 2007-02-21 |
| 1114064227 | Joel Bradley Levine | Psychologist | 40 Main Pkwy, Plainview, NY 11803-2132 | 2007-01-30 |
| 1457408650 | Scott Lewis Linden | Psychologist | 8 Algiers St, Plainview, NY 11803-6305 | 2007-01-03 |
| 1477619815 | Tami Abelew | Psychologist | 22 Newport Drive, Plainview, NY 11803-2511 | 2006-12-29 |
| 1841355708 | Marc L Miller | Psychologist | 4 Stauber Dr, Plainview, NY 11803-4835 | 2006-12-22 |
| 1366401739 | Sherry Henig | Psychologist | 37 Lent Dr, Plainview, NY 11803-6432 | 2006-03-22 |
| 1619944634 | Leslie Gary Nadler | Psychologist | 32 Randy Ln, Plainview, NY 11803-3945 | 2006-03-08 |
| Find all providers in PLAINVIEW | ||||
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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.