HOLLY FAY PETERSON (NPI# 1063438141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063438141 |
| Entity Type | Individual |
| Full Name | HOLLY FAY PETERSON |
| Practice Address |
400 E 3rd St Duluth MN 55805-1951 |
| Practice Telephone | 2187868364 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R1122806 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43893300 | 05 | |
| MN | 718517100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999536 | Holly Peterson | Pharmacist | 1020 W Los Altos Rd, Tucson, AZ 85704-4134 | 2020-10-14 |
| 1053620666 | Holly Peterson | Homemaker | 1107 Park Rd, Jackson, MI 49203-5066 | 2010-09-30 |
| 1285278614 | Holly Suzanne Peterson | Physician Assistant | 2001 E Quail Run Rd, Emmett, ID 83617-5059 | 2019-10-29 |
| 1376082495 | Holly Peterson | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2017-02-22 |
| 1215241112 | Holly Sue Peterson | Social Worker | 9690 S 1300 E, Suite 200, Sandy, UT 84094-3721 | 2010-08-03 |
| 1295968618 | Holly Peterson | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2009-09-02 |
| 1164672317 | Holly Peterson | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2008-09-24 |
| 1356339303 | Holly Christine Peterson | Internal Medicine | 1200 Sixth Ave N, Centra Care Clinic, St Cloud, MN 56303-2735 | 2005-10-12 |
| Street Address |
400 E 3RD ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122799 | Janet S. Bennett | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2005-05-27 |
| 1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
| 1760096416 | Janine M Cook | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-01 |
| 1912510694 | Emily Stunek | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-24 |
| 1831709781 | Sarah Ann Yokel | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-05 |
| 1063020352 | Natalie R Halverson | Speech-Language Pathologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-22 |
| 1588272470 | Danielle M Huber | Clinical Neuropsychologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-17 |
| 1326663733 | Bonnie M Gustafson | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1265057640 | Sonja E Hanson | Registered Nurse | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1588203061 | Erin Laveau-allen | Student in an Organized Health Care Education/Training Program | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598123 | Rachel Kathleen Poage | Nurse Practitioner | 3500 Duluth Park Ln Ste 220, Duluth, GA 30096-3230 | 2018-12-03 |
| 1477911386 | Khelsea M. Mccier | Nurse Practitioner | Medlock Pediatrics: 3497 Duluth Park Lane, Duluth, GA 30096 | 2016-02-05 |
| 1619396132 | Katherine Olivia Morris | Nurse Practitioner | 3497 Duluth Park Lane Nw, Duluth, GA 30096 | 2014-04-11 |
| 1629332648 | Stacy Diann Leigh | Nurse Practitioner | 2977 Silvermere Ln, Duluth, GA 30097-4325 | 2012-06-25 |
| 1033155486 | Tujuana C Glenn Olajide | Nurse Practitioner | 5404 Tree Summit Pkwy, Duluth, GA 30096-8070 | 2006-06-22 |
| 1972508414 | Catherine Jean Miller | Nurse Practitioner | 400 East 3rd Street, Duluth, MN 55805 | 2005-06-20 |
| 1558996447 | Abigail Marie Jones | Nurse Practitioner | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2020-03-11 |
| 1104211457 | Elisabeth Olsen Peterson | Nurse Practitioner | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2015-04-03 |
| 1255680070 | Laura Elizabeth Hobbs | Nurse Practitioner | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2012-09-07 |
| 1336304971 | Sarah Katherine Daggett | Nurse Practitioner | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2008-07-23 |
| Find all providers in DULUTH | ||||
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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.