MS. KIMBERLY PETERSON (NPI# 1134642572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134642572 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY PETERSON |
| Credential | LPC |
| Practice Address |
2592 W Santa Clara Dr Meridian ID 83642-4363 |
| Practice Telephone | 2086081883 |
| Practice Fax Number | 2086081883 |
| Mailing Telephone | 2086081883 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-6636 | ID | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-6636 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003624 | Kimberly Ann Peterson | Registered Nurse | 1108 Independence Ct, Atchison, KS 66002-9554 | 2020-11-07 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1720402100 | Kimberly Peterson | Registered Nurse | 11300 Columbiana Canfield Rd, Suite E, Canfield, OH 44406-8485 | 2014-02-06 |
| 1285898825 | Kimberly Anne Peterson | Speech-Language Pathologist | 205 N 85th St, Wauwatosa, WI 53226-4603 | 2008-07-14 |
| 1467955724 | Kimberly Rose Peterson | Counselor | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2018-03-13 |
| 1013425602 | Kimberly Lauren Peterson | Student in an Organized Health Care Education/Training Program | 210 Avenue C, Danville, IL 61832-5410 | 2018-01-17 |
| 1104336668 | Kimberly A Peterson | Occupational Therapist | 1587 Myrtle Ave, Eureka, CA 95501-1453 | 2017-10-10 |
| 1538678263 | Kimberly Paige Peterson | Speech-Language Pathologist | 78 Hospital Rd, Macon, MS 39341-2490 | 2017-09-26 |
| 1265952626 | Kimberly Peterson | Registered Nurse | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-06-26 |
| 1407384233 | Kimberly Dianne Peterson | Social Worker | 1007 S Jefferson Way, Indianola, IA 50125-3221 | 2017-05-24 |
| Street Address |
2592 W SANTA CLARA DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
| 1982260329 | Maxwell Aristaeus Dusky | Counselor | 3017 S Meridian Rd, Meridian, ID 83642-7962 | 2019-05-10 |
| 1376915298 | Donna Eldridge | Counselor | 3507 Causeyville Rd, Meridian, MS 39301-9174 | 2015-10-30 |
| 1245601616 | Lindsay Kyle | Counselor | 1316 Ridgeview Cir, Meridian, MS 39305-2743 | 2015-10-12 |
| 1952790297 | Wendy Fisher | Counselor | 744 W Kingsley St, Meridian, ID 83646-6222 | 2015-01-09 |
| 1326443938 | Ophelia Mayfield | Counselor | 1923 23rd Ave., Meridian, MS 39301 | 2014-10-24 |
| 1114355757 | Gail Ingra Peterson | Counselor | 3043 S Meridian Rd, Suite 125, Meridian, ID 83642-7922 | 2013-10-16 |
| 1558795773 | Jami Clevenger | Counselor | 943 W Overland Rd Ste 157, Meridian, ID 83642-6541 | 2013-08-23 |
| 1871927152 | Michele Ann Gallegos | Counselor | 2704 N Caribou Way, Meridian, ID 83646-3475 | 2013-08-22 |
| 1184965741 | Juakita L. Grice | Counselor | 1415 35th Ave, Meridian, MS 39301-3628 | 2013-03-07 |
| Find all providers in MERIDIAN | ||||
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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.