KATRINA IRENE PETERSON (NPI# 1104225911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104225911 |
| Entity Type | Individual |
| Full Name | KATRINA IRENE PETERSON |
| Credential | FNP |
| Practice Address |
8201 Ewing Halsell Dr 2nd Floor San Antonio TX 78229-3707 |
| Mailing Address |
8201 Ewing Halsell Dr San Antonio TX 78229-3707 |
| Practice Telephone | 2105754837 |
| Practice Fax Number | 2105758647 |
| Mailing Telephone | 2105754837 |
| Mailing Fax Number | 2105758647 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP125582 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP125582 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 387414YLLW | 01 |
| TX | 343601601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811373319 | Katrina Peterson | Pharmacist | 8416 Lee Hwy, Fairfax, VA 22031-1503 | 2015-08-06 |
| 1689966319 | Katrina Peterson | Physical Therapist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2011-05-13 |
| 1437366614 | Katrina L Peterson | Physical Therapist | 1 W Burdick Expy, Trinity Hospitals, Minot, ND 58701 | 2007-05-17 |
| Street Address |
8201 EWING HALSELL DR 2ND FLOOR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558328302 | Victor S Ostrower | Internal Medicine | 8201 Ewing Halsell Dr, 2nd Flr., San Antonio, TX 78229-3707 | 2006-04-26 |
| 1235742594 | Nickeya Sue Laycock | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2020-08-26 |
| 1699387654 | Assia L Phoenix | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2020-08-20 |
| 1447890447 | Jacqueline Floyd | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2020-01-08 |
| 1891264032 | Ciara Nicole Rubenstein | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2018-11-16 |
| 1649754573 | Kari Lynne Lebret-harris | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2018-09-17 |
| 1205335742 | Brittany Lauren Green | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2018-02-11 |
| 1164810347 | Maria Oliu | Nurse Practitioner | 8201 Ewing Halsell Dr, Second Floor, San Antonio, TX 78229-3707 | 2014-12-22 |
| 1700014313 | Kavitha Reddy Thudi | Internal Medicine | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2009-06-23 |
| 1124280920 | Eric Treat | Transplant Surgery | 8201 Ewing Halsell Dr, 2nd Floor, San Antonio, TX 78229 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1275131773 | Zaheer Uddin Sarwar | Nurse Practitioner | 17803 Maui Sands, San Antonio, TX 78255-3345 | 2020-10-15 |
| 1386259802 | Melanie Vanessa Morawiec | Nurse Practitioner | 155 E Sonterra Blvd Ste 101, San Antonio, TX 78258-3988 | 2020-09-11 |
| 1588207468 | April Louise Lumpkins | Nurse Practitioner | 1630 Mogford Rd, San Antonio, TX 78264-9243 | 2019-10-23 |
| 1396391942 | Wilmer Kyle Mounger | Nurse Practitioner | 12014 Fort Leaton, San Antonio, TX 78254-6363 | 2019-08-09 |
| 1710456629 | Lisa Spivey | Nurse Practitioner | 103 Tanglebriar Ln Apt C, San Antonio, TX 78209-3912 | 2018-11-20 |
| 1730654112 | Margaret Von Der Embse | Nurse Practitioner | 111 Probandt Unit 401, San Antonio, TX 78204-1997 | 2018-10-11 |
| 1083193460 | Christopher Esparza | Nurse Practitioner | 919 Locke St, San Antonio, TX 78208-2127 | 2018-08-07 |
| 1902393812 | Wound Healing Partners Pllc | Nurse Practitioner | 5902 Venado Trl, San Antonio, TX 78240-3364 | 2018-04-16 |
| 1134622343 | Doll House Medspa LLC | Nurse Practitioner | 1205 N Loop 1064 W, Suite 225, San Antonio, TX 78258 | 2018-03-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.