MELISSA R PETERSON (NPI# 1093272148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093272148 |
| Entity Type | Individual |
| Full Name | MELISSA R PETERSON |
| Practice Address |
Po Box L Seldovia AK 99663-0250 |
| Mailing Address |
880 E End Rd Homer AK 99603-7201 |
| Practice Telephone | 9072347898 |
| Practice Fax Number | 9072347865 |
| Mailing Telephone | 9072262228 |
| Mailing Fax Number | 9072262230 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DENA338 | AK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867655 | Melissa Peterson | Social Worker | 400 Hunnewell St Ste 6r, Needham, MA 02494-1360 | 2018-04-05 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1902182835 | Melissa Anne Peterson | Home Health Aide | 3850 Granada Way N, Oakdale, MN 55128-3031 | 2011-10-24 |
| 1811211139 | Melissa Anne Peterson | Social Worker | 9909 Clayton Rd, Suite Ll2a, Saint Louis, MO 63124-1120 | 2010-03-15 |
| 1912170291 | Melissa Peterson | Physical Therapy Assistant | 5022 S 69th St, Greenfield, WI 53220-4406 | 2008-04-08 |
| 1326646159 | Melissa Peterson | Behavior Technician | 3425 Blake St, Denver, CO 80205-2406 | 2020-10-14 |
| 1194382481 | Melissa Janelle Peterson | Social Worker | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2019-05-22 |
| 1669961959 | Melissa Peterson | Physician Assistant | 5505 Roswell Rd Ste 100, Atlanta, GA 30342-1983 | 2018-05-02 |
| 1982106738 | Melissa L Peterson | Nurse Practitioner | 945 N 12th St, Milwaukee, WI 53233-1305 | 2018-03-07 |
| 1245731348 | Melissa Ros4e Peterson | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2018-02-23 |
| Street Address |
PO BOX L |
| City | SELDOVIA |
| State | AK |
| Zip Code | 99663-0250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487989117 | Lilli Ann Ohse | Counselor | Po Box L, Seldovia, AK 99663-0250 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184174831 | Community Health Imaging Centers | Clinic/Center | 259 Seldovia Street, Seldovia, AK 99663 | 2016-10-06 |
| 1699166215 | Alison Godwin | Massage Therapist | 206 Main Street, Seldovia, AK 99663 | 2015-02-18 |
| 1912301110 | La Maestra Family Clinic, Inc. | Physician Assistant | 259 Seldovia Street, Box 206, Seldovia, AK 99663-0206 | 2014-10-16 |
| 1417020348 | Lawrence Lewis Reynolds | General Practice | 252 Seldovia St, Seldovia, AK 99663-0210 | 2006-11-16 |
| 1790773570 | Mary Anne Wilson | Nurse Practitioner | 319 Eagle Run Loop, Box 215, Seldovia, AK 99663-0215 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184174831 | Community Health Imaging Centers | Clinic/Center | 259 Seldovia Street, Seldovia, AK 99663 | 2016-10-06 |
| 1912301110 | La Maestra Family Clinic, Inc. | Physician Assistant | 259 Seldovia Street, Box 206, Seldovia, AK 99663-0206 | 2014-10-16 |
| 1417020348 | Lawrence Lewis Reynolds | General Practice | 252 Seldovia St, Seldovia, AK 99663-0210 | 2006-11-16 |
| 1790773570 | Mary Anne Wilson | Nurse Practitioner | 319 Eagle Run Loop, Box 215, Seldovia, AK 99663-0215 | 2005-10-06 |
| 1699166215 | Alison Godwin | Massage Therapist | 206 Main Street, Seldovia, AK 99663 | 2015-02-18 |
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722198 | Sarah Carter | Dental Hygienist | 36721 Saint Theresa Rd, Soldotna, AK 99669-8653 | 2020-02-14 |
| 1619487808 | Elisabeth Turner | Dental Hygienist | 6611 Debarr Rd Ste 100, Anchorage, AK 99504-1706 | 2017-10-03 |
| 1801335856 | Meridian Dental, LLC | Dental Hygienist | 3465 E Meridian Park Loop Ste C, Wasilla, AK 99654-7264 | 2017-02-22 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1679922496 | Karen Peters | Dental Hygienist | 600 Richardson Dr, Bld. # 634, Fort Richardson, AK 99505-8310 | 2016-06-13 |
| 1396116182 | Kelly Adrian | Dental Hygienist | 19436 Laura Lee Cir, Eagle River, AK 99577-8415 | 2015-10-19 |
| 1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
| 1356600886 | Di Ann Thain | Dental Hygienist | 7300a Klawock-hollis Hwy, Klawock, AK 99925 | 2012-05-03 |
| 1134497936 | Barbara J Sylvester | Dental Hygienist | 122 First Ave Suite 600, Fairbanks, AK 99707-2585 | 2011-12-07 |
| 1881970184 | Laura M Greer | Dental Hygienist | 8150 Northwind Ave # B, Anchorage, AK 99504-4141 | 2011-10-31 |
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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.