LYNN-MARIE MORGAN PEASHKA (NPI# 1205858289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205858289 |
| Entity Type | Individual |
| Full Name | LYNN-MARIE MORGAN PEASHKA |
| Credential | PMHNP-BC |
| Practice Address |
428 6th Ave Lewiston ID 83501-2355 |
| Practice Telephone | 2087996500 |
| Practice Fax Number | 2087996504 |
| Mailing Telephone | 2087996500 |
| Mailing Fax Number | 2087996504 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP-780 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP3000-7028 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9650722 | 05 |
| Street Address |
428 6TH AVE |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043753742 | Larry Bearden | Counselor | 428 6th Ave, Lewiston, ID 83501-2355 | 2016-11-29 |
| 1619328044 | Amy Kelley | Social Worker | 428 6th Ave, Lewiston, ID 83501-2355 | 2016-06-27 |
| 1649629700 | Pamela Jean Wieters | Social Worker | 428 6th Ave, Lewiston, ID 83501-2355 | 2016-06-09 |
| 1730541467 | Karen Simmons | Counselor | 428 6th Ave, Lewiston, ID 83501-2355 | 2016-03-22 |
| 1922476845 | Alison Lawhead | Social Worker | 428 6th Ave, Lewiston, ID 83501-2355 | 2015-09-09 |
| 1003284126 | St. Joseph's Regional Medical Center | General Acute Care Hospital | 428 6th Ave, Lewiston, ID 83501-2355 | 2015-09-05 |
| 1013313667 | Katherine Ann Troutman | Counselor | 428 6th Ave, Lewiston, ID 83501-2355 | 2014-11-10 |
| 1619241387 | Betty J Weeks | Counselor | 428 6th Ave, Lewiston, ID 83501-2355 | 2012-02-28 |
| 1609010156 | Thadeus B Koontz | Psychiatry & Neurology | 428 6th Ave, Lewiston, ID 83501-2355 | 2009-04-28 |
| 1235398017 | Chivonne Marie Mraz | Social Worker | 428 6th Ave, Lewiston, ID 83501-2355 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024689 | Jessica Erin Bringman | Nurse Practitioner | 3624 23rd St, Lewiston, ID 83501-6121 | 2020-02-10 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1417430554 | Samantha Reny | Nurse Practitioner | 10 High St Ste 301, Lewiston, ME 04240-7656 | 2018-09-14 |
| 1033288378 | Michael S Hiltz | Nurse Practitioner | 689 Sabattus St, Lewiston, ME 04240-3831 | 2006-11-08 |
| 1538778972 | Alyssa K Rouleau | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2020-07-30 |
| 1568087005 | Mountain View Health Pllc | Nurse Practitioner | 609 Bryden Ave Ste B, Lewiston, ID 83501-5193 | 2020-06-10 |
| 1497318422 | Dg Psychiatric Services LLC | Nurse Practitioner | 523 1/2 Main St Ste 7, Lewiston, ID 83501-1870 | 2019-04-16 |
| 1306303813 | Katherine Jeniffer Dawkins | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-02-21 |
| 1538647664 | Annabelle Schierman | Nurse Practitioner | 10 High St Ste 103, Lewiston, ME 04240-7640 | 2018-07-31 |
| 1073009908 | David J. Wright | Nurse Practitioner | 100 Campus Ave Ste 208, Lewiston, ME 04240-6069 | 2018-07-03 |
| Find all providers in LEWISTON | ||||
Please comment or provide details below to improve the information on LYNN-MARIE MORGAN PEASHKA.
| 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.