KELSEY PETERSON (NPI# 1003393604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003393604 |
| Entity Type | Individual |
| Full Name | KELSEY PETERSON |
| Credential | FNP-C |
| Practice Address |
816 22nd Ave Ste 100 Kearney NE 68845-2226 |
| Practice Telephone | 3084558287 |
| Mailing Telephone | 3084558287 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
112618 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1942813126 | Kelsey Lin Peterson | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2020-08-26 |
| 1174084008 | Kelsey Rae Peterson | Pharmacist | 800 Rose St Rm H110, Lexington, KY 40536-0293 | 2019-03-25 |
| 1639658479 | Kelsey Peterson | Physician Assistant | 900 W Norfolk Ave, Norfolk, NE 68701-5006 | 2018-08-13 |
| 1659894855 | Kelsey Peterson | Occupational Therapist | 118 N 7th Ave, Sheldon, IA 51201-1235 | 2017-07-19 |
| 1932653219 | Kelsey Peterson | Dietitian, Registered | 6046 Cornerstone Ct W, Suite 226, San Diego, CA 92121-4758 | 2016-08-04 |
| 1902144983 | Kelsey Rose Peterson | Physician Assistant | 1245 Nw 4th St Ste 101, Redmond, OR 97756-1680 | 2013-01-25 |
| 1033281019 | Kelsey Carl Peterson Jr. | Specialist | 17742 Beach Blvd, 245, Huntington Beach, CA 92647-6818 | 2006-11-14 |
| Street Address |
816 22ND AVE STE 100 |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275949596 | Lauren Huckabee | Dietitian, Registered | 816 22nd Ave Ste 100, Kearney, NE 68845-2226 | 2014-07-08 |
| 1962967109 | Sydney Ann Trosper | Physician Assistant | 816 22nd Ave Ste 100, Kearney, NE 68845-2226 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846288 | Daniell Marie White | Nurse Practitioner | 1523 4th Ave, Kearney, NE 68845-5918 | 2020-06-24 |
| 1700083953 | Stephanie Ann Burge | Nurse Practitioner | 1917 W 24th St, West Center, 155w, Kearney, NE 68849-4915 | 2007-06-29 |
| 1093912719 | Cynthia L Hayes | Nurse Practitioner | University of Nebraska Kearney, Msab 184, Kearney, NE 68849-0001 | 2007-06-27 |
| 1386720373 | Christina Dak-wai Donze | Nurse Practitioner | 301 B South Platte Clay Way, Kearney, MO 64060 | 2006-10-31 |
| 1407457211 | Jennifer Lynn Pool | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2020-11-06 |
| 1023616877 | Sara Malzacher | Nurse Practitioner | 211 W 33rd St, Kearney, NE 68845-3484 | 2020-10-14 |
| 1144835331 | Holly Anine Goodell | Nurse Practitioner | 416 W 48th St Ste 28, Kearney, NE 68845-1314 | 2020-09-14 |
| 1114561909 | Amber Rogers | Nurse Practitioner | 211 W 33rd St, Kearney, NE 68845-3484 | 2019-11-05 |
| 1225684913 | Rochelle Herrada | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-08-17 |
| 1447710942 | Dynae Chere' Pofahl | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-03-21 |
| Find all providers in KEARNEY | ||||
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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.