DONNA ELLENA PETERSON (NPI# 1013980374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013980374 |
| Entity Type | Individual |
| Full Name | DONNA ELLENA PETERSON |
| Credential | MA LP |
| Practice Address |
1811 Weir Dr Ste 355, Mail Stop 13701a Woodbury MN 55125 |
| Mailing Address |
8100 34th Ave S 21110q Bloomington MN 55425-1672 |
| Practice Telephone | 6512544786 |
| Practice Fax Number | 6512288362 |
| Mailing Telephone | 9528837961 |
| Mailing Fax Number | 9528835395 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3970 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1497113542 | Donna Peterson | Licensed Practical Nurse | 16756 Findlay St, Chagrin Falls, OH 44023-3739 | 2016-02-03 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1346269032 | Donna Sue Peterson | Psychologist | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2006-07-19 |
| 1386021905 | Donna Peterson | Physical Therapy Assistant | 901 Shelby St, Indianapolis, IN 46203-1151 | 2015-05-04 |
| 1053744342 | Donna Lee Peterson | Speech-Language Pathologist | 3271 E Queen Creek Rd, Suite 101, Gilbert, AZ 85297-8508 | 2013-08-09 |
| 1538419924 | Donna Claire Peterson | Social Worker | 9378 Olive Blvd Ste 106, Saint Louis, MO 63132-3222 | 2012-09-13 |
| Street Address |
1811 WEIR DR STE 355, MAIL STOP 13701A |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073593620 | Joel Augustine Schirvar | Clinical Neuropsychologist | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2006-01-19 |
| 1649878398 | Janet Smallidge | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2020-10-14 |
| 1275001372 | Victoria Lynn Reeck | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2018-11-06 |
| 1407396567 | Donald Handlang | Counselor | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2017-03-07 |
| 1215476593 | Holly M Pickard | Counselor | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2017-02-19 |
| 1720533342 | Emunah Arak Rankin | Nurse Practitioner | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-08-24 |
| 1235682683 | Linda Gail Olson | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2016-08-02 |
| 1003268293 | Stephanie Odegard | Counselor | 1811 Weir Dr, Sutie 270, Woodbury, MN 55125-2272 | 2016-07-12 |
| 1881046282 | Lynn Renee Carlson | Social Worker | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-07-08 |
| 1467809624 | Benjamin Dieffenbach | Social Worker | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932573599 | Jd Psychological Services, PC | Psychologist | 10 Lower Cmns, Woodbury, CT 06798-3219 | 2015-11-19 |
| 1124425756 | Reflective Psychology Associates, Pllc | Psychologist | 144 Woodbury Rd, 16, Woodbury, NY 11797-1418 | 2014-11-25 |
| 1750722195 | Craig Martin Roelke | Psychologist | 6063 Hudson Rd, Suite 200, Woodbury, MN 55125-4454 | 2013-07-15 |
| 1023389186 | Amy Hilburger | Psychologist | 576 Bielenberg Dr Ste 250, Woodbury, MN 55125-1739 | 2012-01-21 |
| 1134457047 | Behavior Therapy Solutions of Minnesota | Psychologist | 700 Commerce Dr Ste 260, Woodbury, MN 55125-9243 | 2009-12-04 |
| 1588896310 | Penticoff Community Counseling, Inc. | Psychologist | 1818 Wooddale Dr Ste 204, Woodbury, MN 55125-2983 | 2009-08-12 |
| 1902045669 | Alison Paige Hawkinson | Psychologist | 680 Commerce Dr, Woodbury, MN 55125-4501 | 2009-02-19 |
| 1720294796 | William Joseph Russo | Psychologist | 109 Woodlake Dr W, Woodbury, NY 11797-2308 | 2007-05-15 |
| 1396950523 | Kattar Consulting, PC | Psychologist | 3490 Richmond Pkwy, Woodbury, MN 55129-4914 | 2007-05-11 |
| 1841404555 | Wendy Scarlet Stapen | Psychologist | 56 Orchard Dr, Woodbury, NY 11797-2830 | 2007-05-10 |
| Find all providers in WOODBURY | ||||
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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.