KELLY PETERS (NPI# 1982060265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982060265 |
| Entity Type | Individual |
| Full Name | KELLY PETERS |
| Credential | RN |
| Practice Address |
6205 Dominion Dr Madison WI 53718-3124 |
| Mailing Address |
608 E Main St Mount Horeb WI 53572-2039 |
| Practice Telephone | 2627197224 |
| Mailing Telephone | 6082932746 |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2016-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 178542 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174754261 | Kelly A Peters | Speech-Language Pathologist | 1579 E 85th Ave, Merrillville, IN 46410-8901 | 2009-08-06 |
| 1861423303 | Kelly Ann Peters | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387 | 2006-07-05 |
| 1225091788 | Kelly Ann Peters | Physician Assistant | 10103 Ridgegate Pkwy 312, Lone Tree, CO 80124-5525 | 2006-04-07 |
| 1417430935 | Kelly Lee Peters | Nurse Practitioner | 4311 Wesley St, Greenville, TX 75401-5639 | 2018-09-11 |
| 1740778117 | Kelly Peters | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2018-05-01 |
| 1245699370 | Kelly Peters | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2016-02-17 |
| 1407236581 | Kelly Peters | Counselor | 6060 Ridge Ave, Suite 210, Philadelphia, PA 19128-1657 | 2015-06-04 |
| 1144666793 | Kelly Peters | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-05-21 |
| 1003155987 | Kelly Peters | Occupational Therapist | 8 5th St Se, Watertown, SD 57201-3713 | 2013-02-12 |
| 1790041481 | Kelly Peters | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2012-04-06 |
| Street Address |
6205 DOMINION DR |
| City | MADISON |
| State | WI |
| Zip Code | 53718-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003284761 | Judith Lynn Mcdonald | Registered Nurse | 6205 Dominion Dr, Madison, WI 53718-3124 | 2015-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
| 1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
| 1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
| 1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
| 1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
| Find all providers in zip 53718 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316952 | Jennifer Hume Cook | Registered Nurse | 64 Napa Valley Cir, Madison, MS 39110-8892 | 2020-11-05 |
| 1972110328 | Christie Maria Moss | Registered Nurse | 1502 Ocoee Trl, Madison, TN 37115-5603 | 2020-09-29 |
| 1700400918 | Sophia Rahman | Registered Nurse | 14 Millstone Rd, Madison, WI 53717-1414 | 2020-06-03 |
| 1578186524 | Amanda Duquette | Registered Nurse | 108 Southway Ct, Madison, AL 35757-7933 | 2020-05-26 |
| 1801415039 | Franca Isename | Registered Nurse | 101 Ramsbrook Dr, Madison, AL 35757-7316 | 2020-04-08 |
| 1083243166 | Lydia J Huck | Registered Nurse | 20 S Park St Ste 505, Madison, WI 53715-1348 | 2020-04-02 |
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1801435235 | Dean Micheal Johnson | Registered Nurse | 7538 Mid Town Rd Apt 105, Madison, WI 53719-3454 | 2020-01-02 |
| 1932757200 | Inga Hope Fane | Registered Nurse | 4014 Lori Cir, Madison, WI 53714-3028 | 2019-08-29 |
| 1477109544 | Dawn G Lawrence | Registered Nurse | 146 Bradford Ln, Madison, WI 53714-2308 | 2019-08-14 |
| Find all providers in MADISON | ||||
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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.