RANDY PETERSON (NPI# 1043419757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043419757 |
| Entity Type | Individual |
| Full Name | RANDY PETERSON |
| Practice Address |
627 N Evans St Mcminnville OR 97128-3923 |
| Practice Telephone | 5034347523 |
| Mailing Telephone | 5034347523 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747221 | Randy Wayne Peterson | Registered Nurse | 716 South 7th Street, Purple Building, P1.600, Minneapolis, MN 55415 | 2019-05-30 |
| 1881969525 | Randy Peterson | Case Manager/Care Coordinator | 7 Prospect St, Nashua, NH 03060-3921 | 2012-03-13 |
| 1235109430 | Randy J Peterson | Specialist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2006-01-23 |
| Street Address |
627 N EVANS ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275834673 | Susan Gaieen Clark | Social Worker | 627 N Evans St, Mcminnville, OR 97128-3923 | 2010-11-16 |
| 1063658821 | Aida Apple | Registered Nurse | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-12-29 |
| 1740454206 | Tom Weinstock-blair | Social Worker | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-04-16 |
| 1912182569 | Elizabeth Downs | Social Worker | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-01-02 |
| 1801086095 | Prairie Oak | Case Manager/Care Coordinator | 627 N Evans St, Mcminnville, OR 97128-3923 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346799806 | Jessica Kam | Registered Nurse | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831433887 | Vicki J Mosby | Registered Nurse | 1980 Washington St, Eugene, OR 97405-2664 | 2012-11-15 |
| 1851563456 | Carole L. Bekkenhuis - Johnson | Registered Nurse | 2072 Greiner Street, Eugene, OR 97405 | 2008-03-24 |
| 1770780983 | Dale Hitchcock | Registered Nurse | 1605 East Lincoln Rd., Woodburn, OR 97071-5534 | 2007-06-29 |
| 1861578353 | Jan Scott Garlock | Registered Nurse | 3140 Juanipero Way, Suite 102, Medford, OR 97504-8640 | 2006-10-27 |
| 1790872000 | Bryan M Hagen | Registered Nurse | 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 | 2006-10-06 |
| 1750358610 | Barbara J. Limandri | Registered Nurse | 2255 Nw Northrup St, Linfield College School of Nursing, Portland, OR 97210-2918 | 2006-02-28 |
| 1841263043 | Patricia Diane Jarrett | Registered Nurse | 36 Sw Nye St, Newport, OR 97365-3821 | 2006-02-08 |
| 1750990560 | Nicole Ray Billman | Registered Nurse | 2301 Cove Ave, La Grande, OR 97850-3906 | 2020-07-28 |
| 1659918415 | Leslie Wright | Registered Nurse | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2019-11-28 |
| 1144881475 | Kimberly Ann Richards | Registered Nurse | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
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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.