DR. LISA JO PETERSEN (NPI# 1184620957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184620957 |
| Entity Type | Individual |
| Full Name | DR. LISA JO PETERSEN |
| Credential | M.D. |
| Practice Address |
933 Red Apple Rd Ste D Central Washington Hospital Women's Healthcare Center Wenatchee WA 98801-3370 |
| Practice Telephone | 5096656125 |
| Practice Fax Number | 5096656124 |
| Mailing Telephone | 5096656125 |
| Mailing Fax Number | 5096656124 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2010-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00033127 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8192262 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407239338 | Lisa Petersen | Pharmacist | 213 Calumet Ave Sw, De Smet, SD 57231-2161 | 2015-07-09 |
| 1609141209 | Lisa Petersen | Registered Nurse | 191 Vermont Ave, Staten Island, NY 10305-1727 | 2012-03-14 |
| 1831734961 | Lisa Irene Petersen | Occupational Therapist | 125 Middletown Rd, Waterford, NY 12188-1516 | 2019-11-13 |
| 1942704127 | Lisa Petersen | Counselor | 1138 Pine St, Burlington, VT 05401-5353 | 2018-03-21 |
| 1063707305 | Lisa M Petersen | Counselor | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2011-06-15 |
| 1982917209 | Lisa R Petersen | Optometrist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2010-07-15 |
| 1699813923 | Lisa Petersen | Psychologist | 601 University Ave, Suite #225, Sacramento, CA 95825-6775 | 2007-02-01 |
| Street Address |
933 RED APPLE RD STE D CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373249 | Liane M. Mizgala | Obstetrics & Gynecology | 933 Red Apple Rd Ste D, Central Washington Hospital Women's Healthcare Center, Wenatchee, WA 98801-3370 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316507825 | Susan A Weber | Family Medicine | 313 Chatham Hill Rd, Wenatchee, WA 98801-5931 | 2019-06-17 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1639187792 | Hal D. (initial Only) Harden | Family Medicine | 1815 Valley Vue Rd, Wenatchee, WA 98801-1050 | 2006-08-04 |
| 1023042579 | Richard J Beukema | Family Medicine | 600 Orondo Ave 1, Wenatchee, WA 98801-2800 | 2006-07-10 |
| 1992731541 | Corinne Bassett | Family Medicine | 707 N Emerson Ave, Wenatchee, WA 98801-2032 | 2006-06-24 |
| 1437140274 | Andrea Ashleigh Keyser | Family Medicine | 600 Orondo Ave, Ste 1, Wenatchee, WA 98801 | 2005-11-01 |
| 1376545343 | Anna A. Zampona | Family Medicine | Central Washington Hospital Family Physicians, 1215 South Miller Street, Wenatchee, WA 98801 | 2005-08-10 |
| 1447256433 | Michael J. Fadich | Family Medicine | 1215 S Miller St, Wenatchee, WA 98801-3201 | 2005-06-23 |
| 1518346485 | Alicia Adams | Family Medicine | 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 | 2015-05-26 |
| 1982007704 | Nathan Schreiber | Family Medicine | 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 | 2014-10-07 |
| Find all providers in WENATCHEE | ||||
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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.