ELISABETH OLSEN PETERSON (NPI# 1104211457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104211457 |
| Entity Type | Individual |
| Full Name | ELISABETH OLSEN PETERSON |
| Credential | PNP |
| Practice Address |
2660 Satellite Blvd Duluth GA 30096-5803 |
| Practice Telephone | 4047858330 |
| Mailing Telephone | 4047858330 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN234033 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225302672 | Elisabeth C. Peterson | Dietitian, Registered | 2200 Pump Rd, Henrico, VA 23233-3539 | 2012-03-02 |
| 1508094244 | Elisabeth M Peterson | Dentist | 2500 Como Avenue, St. Paul, MN 55108-1460 | 2009-07-01 |
| Street Address |
2660 SATELLITE BLVD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790740249 | Teresa Marie Petros | Pediatrics | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2006-04-19 |
| 1558996447 | Abigail Marie Jones | Nurse Practitioner | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2020-03-11 |
| 1669933446 | Claudia Rodica Kusovschi | Registered Nurse | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2019-03-26 |
| 1164789202 | Farida Kwaji | Pediatrics | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2012-04-13 |
| 1881969996 | Elizabeth Demander | Pediatrics | 2660 Satellite Blvd, Satellite Blvd, Duluth, GA 30096-5803 | 2012-03-22 |
| 1699087742 | Kiran Patel | Pediatrics | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2010-07-06 |
| 1841510450 | Olubunmi Bakare | Pediatrics | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2010-06-04 |
| 1013151786 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2009-04-27 |
| 1881762623 | Olabisi Pearse | Pediatrics | 2660 Satellite Blvd, Duluth, GA 30096 | 2006-12-01 |
| 1073687331 | Egleston Affliated Services | Clinic/Center | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| 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 |
| 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 |
| 1487828661 | Darrell Ryan Pahl | Nurse Practitioner | 3645 Howell Ferry Rd, Duluth, GA 30096-3179 | 2008-04-17 |
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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.