NICOLE MARIE PETERSEN (NPI# 1053948943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053948943 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE PETERSEN |
| Credential | RD |
| Practice Address |
118 Glenview Dr Martinez CA 94553-5862 |
| Practice Telephone | 9259179724 |
| Mailing Telephone | 9259179724 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227448 | Nicole Marie Petersen | Pharmacist | 8200 N Lindbergh Blvd, Schnucks Pharmacy, Florissant, MO 63031-7107 | 2005-06-30 |
| 1730795030 | Nicole Maree Petersen | Nurse Practitioner | 3950 Keene Rd, West Richland, WA 99353-4901 | 2020-09-22 |
| 1750736534 | Nicole Reed Petersen | Counselor | 835 S Burlington Ave, Ste 108, Hastings, NE 68901-6960 | 2016-04-28 |
| 1962798538 | Nicole Michelle Petersen | Licensed Vocational Nurse | 892 27th St, San Diego, CA 92154-1444 | 2011-06-22 |
| Street Address |
118 GLENVIEW DR |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-5862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922512110 | Jennifer Jocelyn Peters | Dietitian, Registered | 247 Amelia Dr W, Martinez, GA 30907-9376 | 2017-11-27 |
| 1669763173 | Cynthia Lew Ng | Dietitian, Registered | 2328 Banbury Ct, Martinez, CA 94553-6718 | 2011-05-02 |
| 1306058367 | Marie Shimoniak | Dietitian, Registered | 2283 Spring Lake Dr, Martinez, CA 94553-5452 | 2007-05-04 |
| 1932292463 | Dora Mae Chaplin | Dietitian, Registered | 167 Kestwick Dr, E, Martinez, GA 30907 | 2006-10-02 |
| 1205800406 | Barbara Jean Clark | Dietitian, Registered | Va Northern California Health Care System, 150 Muir Rd, Martinez, CA 94553 | 2006-02-14 |
| 1346876117 | Jisu Lim | Dietitian, Registered | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2020-03-12 |
| 1710510102 | Emily Foerster | Dietitian, Registered | 200 Muir Rd, Martinez, CA 94553-4614 | 2020-02-13 |
| 1558922336 | Lisa Christine Zaccaro | Dietitian, Registered | 200 Muir Rd, Martinez, CA 94553-4614 | 2019-06-24 |
| 1568842359 | Jaime Crosley Malasan | Dietitian, Registered | 200 Muir Rd, Hacienda Building, Martinez, CA 94553-4614 | 2015-06-05 |
| 1356738660 | Jinger Lee Rood | Dietitian, Registered | 150 Muir Rd, Martinez, CA 94553-4668 | 2015-04-24 |
| Find all providers in MARTINEZ | ||||
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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.