KIMBERLY LAUREN PETERSON (NPI# 1013425602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013425602 |
| Entity Type | Individual |
| Full Name | KIMBERLY LAUREN PETERSON |
| Credential | BS |
| Practice Address |
210 Avenue C Danville IL 61832-5410 |
| Practice Telephone | 2174423200 |
| Practice Fax Number | 2174427460 |
| Mailing Telephone | 2174423200 |
| Mailing Fax Number | 2174427460 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003624 | Kimberly Ann Peterson | Registered Nurse | 1108 Independence Ct, Atchison, KS 66002-9554 | 2020-11-07 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1134642572 | Kimberly Peterson | Counselor | 2592 W Santa Clara Dr, Meridian, ID 83642-4363 | 2017-07-18 |
| 1720402100 | Kimberly Peterson | Registered Nurse | 11300 Columbiana Canfield Rd, Suite E, Canfield, OH 44406-8485 | 2014-02-06 |
| 1285898825 | Kimberly Anne Peterson | Speech-Language Pathologist | 205 N 85th St, Wauwatosa, WI 53226-4603 | 2008-07-14 |
| 1467955724 | Kimberly Rose Peterson | Counselor | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2018-03-13 |
| 1104336668 | Kimberly A Peterson | Occupational Therapist | 1587 Myrtle Ave, Eureka, CA 95501-1453 | 2017-10-10 |
| 1538678263 | Kimberly Paige Peterson | Speech-Language Pathologist | 78 Hospital Rd, Macon, MS 39341-2490 | 2017-09-26 |
| 1265952626 | Kimberly Peterson | Registered Nurse | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-06-26 |
| 1407384233 | Kimberly Dianne Peterson | Social Worker | 1007 S Jefferson Way, Indianola, IA 50125-3221 | 2017-05-24 |
| Street Address |
210 AVENUE C |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487661930 | Bumyong Lee | Psychiatry & Neurology | 210 Avenue C, Danville, IL 61832-5410 | 2006-08-01 |
| 1598375552 | Kristy Smith | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2020-08-05 |
| 1700426517 | James Andrew Dewey | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2020-01-09 |
| 1225672173 | Yue Zhang | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-11-04 |
| 1588208441 | Wendy Briana Graham | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-11-04 |
| 1396395315 | Levi James Farren | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-09-12 |
| 1558911479 | Lexi Jo Brooks | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-09-12 |
| 1629625611 | Jason Nathaniel Lucas | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-08-23 |
| 1659932630 | Michael Mccabe Barclay-weir | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-06-21 |
| 1467019547 | Aliceson Treach | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382806 | Jessica Lanman | Student in an Organized Health Care Education/Training Program | 104 Shadewell Dr, Danville, CA 94506-1918 | 2020-07-02 |
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1174142020 | Noor Mualla | Student in an Organized Health Care Education/Training Program | 100 N Academy Ave # Da, Danville, PA 17822-0001 | 2020-04-10 |
| 1467081356 | Alyssa Gillenberger | Student in an Organized Health Care Education/Training Program | 101 N Academy Ave, Danville, PA 17822-0001 | 2020-04-03 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1033772785 | Minsu Kwak | Student in an Organized Health Care Education/Training Program | 170 Cortland Dr, Danville, PA 17821-8402 | 2019-04-18 |
| 1578023677 | Andrea Liu Gerytch | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center 100 N Academy Avenue, Danville, PA 17822-0001 | 2019-03-23 |
| 1184129090 | Tejaswi Jada | Student in an Organized Health Care Education/Training Program | 545 Indian Trail Rd, Danville, VA 24540-5218 | 2018-03-24 |
| 1891226981 | Caitlin Fay Ingraham | Student in an Organized Health Care Education/Training Program | 501 Locust Ln, Danville, PA 17821-8567 | 2017-03-21 |
| Find all providers in DANVILLE | ||||
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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.