KEVIN PETERSON


Address: 500 Harvard St Se, Minneapolis, MN 55455-0363
Phone: 6122733000

KEVIN PETERSON (NPI# 1154972180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154972180
Entity Type Individual
Full Name KEVIN PETERSON
Practice Address 500 Harvard St Se
Minneapolis
MN 55455-0363
Mailing Address 5309 34th Pl N
Minneapolis
MN 55422-2819
Practice Telephone 6122733000
Mailing Telephone 6057287450
Enumeration Date 2019-09-20
Last Update Date 2020-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 2418 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers KEVIN PETERSON

NPI Name Taxonomy Address Enumeration
1407499957 Kevin Michael Peterson Dentist 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 2019-10-28
1790225662 Kevin Peterson General Practice 3551 Rodger Brooke Dr, Anesthesia Residency, Jbsa-fort Sam Houston, TX 78234-4504 2017-02-27
1174712434 Kevin Richard Peterson Pharmacist 2324 S 156th Cir, Omaha, NE 68130-2511 2007-10-23
1053527895 Kevin Howard Peterson Psychologist 31 Baltimore St, Suite 103, Cumberland, MD 21502-3024 2007-05-16
1558327064 Kevin P Peterson Family Medicine 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, MN 55106 2006-04-24
1811543895 Kevin Nicholas Peterson Physical Therapist 980 Roosevelt Ste 100, Irvine, CA 92620-3670 2019-08-14
1215412317 Kevin Bradley Peterson Audiologist 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 2018-09-25
1215466321 Kevin George Peterson Physical Therapist 898 Hampton Rd, Mcdonough, GA 30253-6514 2017-06-12
1538533393 Kevin Peterson Massage Therapist 3005 86th St, Urbandale, IA 50322-4001 2015-11-17
1669633343 Kevin W. Peterson Pediatrics 307 E Scenic Valley Ave, Indianola, IA 50125-4865 2008-06-24

Office Location

Street Address 500 HARVARD ST SE
City MINNEAPOLIS
State MN
Zip Code 55455-0363

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396737359 Tae Whang Kim Anesthesiology 500 Harvard St Se, Minneapolis, MN 55455-0363 2005-08-16
1972100923 Laura Eggen Nurse Practitioner 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-10-02
1720695448 Natalie Jean Olson Nurse Anesthetist, Certified Registered 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-09-27
1316551518 Zachary Taylor Registered Nurse 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-09-04
1346852969 Lane M Skalberg Pharmacist 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-08-17
1801407192 Vicky Hedican-sime Nurse Practitioner 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-08-11
1356967293 Rachel Saefong Occupational Therapist 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-06-16
1467073288 Shamsah Rehmatullah Clinical Nurse Specialist 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-05-04
1801417142 Megan Bergland Occupational Therapist 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-04-28
1255951216 Michael Glenn Petty Registered Nurse 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-04-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1982213237 Yue Hu Dentist 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 2020-07-23
1952922148 Jacob Laurence Tigner Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 2020-04-29
1710507538 Rachael Grundman Student in an Organized Health Care Education/Training Program 420 Delaware St, Mmc 395, Minneapolis, MN 55455 2020-04-22
1497375240 Sanjay Dhawan Student in an Organized Health Care Education/Training Program 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 2020-04-22
1508486549 Dariel Andres Diaz Student in an Organized Health Care Education/Training Program 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 2020-04-20
1275186280 Kerem Ozturk Radiology B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 2019-07-18
1275194631 Andres Jose Gonzalez Coba Student in an Organized Health Care Education/Training Program 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 2019-06-26
1841850278 Brendan Andrew Schleyer Dentist 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 2019-06-18
1932767399 Claire-audrey Y Bayan Student in an Organized Health Care Education/Training Program 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 2019-05-31
Find all providers in zip 55455

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1942752571 Amber Bakke Nurse Anesthetist, Certified Registered 5037 43rd Ave S, Minneapolis, MN 55417-1616 2016-10-31
1346796745 John Swenson Nurse Anesthetist, Certified Registered 2401 Chicago Ave, Apt 211, Minneapolis, MN 55404-3888 2016-08-26
1972057230 Kelly Langguth Nurse Anesthetist, Certified Registered 5912 10th Ave S, Minneapolis, MN 55417-3136 2016-08-04
1992155907 Danielle Porter Nurse Anesthetist, Certified Registered 3437 Snelling Ave, Minneapolis, MN 55406-2637 2016-06-21
1346658218 Justin Andreas Anderson Nurse Anesthetist, Certified Registered 225 8th Ave Ne, Minneapolis, MN 55413-1922 2014-07-23
1700162955 James Douglas Berchild Nurse Anesthetist, Certified Registered 4315 10th Avenue South, Minneapolis, MN 55407 2011-11-01
1891097374 Anita Patricia Johnson Nurse Anesthetist, Certified Registered 3132 Emerson Ave S Apt 1, Minneapolis, MN 55408-2717 2010-12-03
1578720843 Teresa Losch Nurse Anesthetist, Certified Registered 2828 Chicago Ave Ste 300, Minneapolis, MN 55407-1573 2008-05-22
1679639520 Margaret A Webinger Nurse Anesthetist, Certified Registered 2525 Chicago Avenue S, Childrens Hospital and Clinics of Minnesota, Minneapolis, MN 55404 2006-12-28
Find all providers in MINNEAPOLIS

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City MINNEAPOLIS
Zip Code 55455

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Dataset Information

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.

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