MRS. KELLY SUZANNE PETERSON (NPI# 1235413758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235413758 |
| Entity Type | Individual |
| Full Name | MRS. KELLY SUZANNE PETERSON |
| Credential | ND |
| Practice Address |
638 Fulton St W Suite B Grand Rapids MI 49504 |
| Practice Telephone | 6162646556 |
| Practice Fax Number | 6164323564 |
| Mailing Telephone | 6162646556 |
| Mailing Fax Number | 6164323564 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 009.0134076 | VT | Other Service Providers |
| N | 175F00000X | Naturopath | 11-1263 | AZ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013450907 | Kelly Rose Peterson | Physical Therapist | 1190 Baker St Ste 105, Costa Mesa, CA 92626-4105 | 2016-11-23 |
| 1326437120 | Kelly Leigh Peterson | Nurse Practitioner | 2200 Childrens Way Monroe Carell Jr, Doctor's Office Tower, 7th Floor, Suite 7100, Nashville, TN 37232-0001 | 2015-01-16 |
| 1336424027 | Kelly Rae Peterson | Nurse Anesthetist, Certified Registered | 9803 Vagabond Ln N, Maple Grove, MN 55311-1364 | 2011-10-13 |
| 1710016563 | Kelly Peterson | Counselor | 5240 Ne Elam Young Pkwy Ste 100, Hillsboro, OR 97124 | 2007-03-05 |
| 1558399261 | Kelly B Peterson | Dentist | 5100 Grove St, Ste B, Marysville, WA 98270-4492 | 2006-06-29 |
| 1639787872 | Kelly Peterson | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-14 |
| 1255965208 | Kelly A Peterson | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-02-28 |
| 1639720014 | Kelly Ann Peterson | Counselor | 20288 Highway 15 N Ste 100, Hutchinson, MN 55350-5685 | 2019-09-26 |
| 1164087730 | Kelly Peterson | Registered Nurse | 410 W 10th Ave, Columbus, OH 43210-1240 | 2019-05-08 |
| 1366923963 | Kelly Peterson | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2018-08-22 |
| Street Address |
638 FULTON ST W SUITE B |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821653403 | Gaynel Nave | Naturopath | 834 Lake Dr Se, Grand Rapids, MI 49506-1479 | 2019-05-08 |
| 1336698281 | Christine Schoenek | Naturopath | 638 Fulton St W Ste B, Grand Rapids, MI 49504-6313 | 2016-10-03 |
| 1831330935 | Wishing Well, Inc. | Naturopath | 1721 Rodney Cr. N.e., Grand Rapids, MI 49505 | 2009-03-19 |
| 1154955821 | Jennifer M Buchner | Naturopath | 638 Fulton St W Ste B, Grand Rapids, MI 49504-5312 | 2020-03-02 |
| 1699242750 | Carrie Tenelle Dennie | Naturopath | 638 Fulton St W, Grand Rapids, MI 49504-6313 | 2018-10-26 |
| 1073012324 | Shannon Colleen Bennett | Naturopath | 781 Kenmoor Ave Se Ste C, Grand Rapids, MI 49546-8624 | 2018-02-01 |
| 1831624626 | Catrice Morning Bird Thornton | Naturopath | 2050 Breton Rd Se, Suite 109, Grand Rapids, MI 49546-5572 | 2017-04-29 |
| 1952852352 | Jennifer Kurinsky | Naturopath | 638 Fulton St W, Suite B, Grand Rapids, MI 49504-6313 | 2016-10-20 |
| 1457660987 | Yolanda Rita Cordele | Naturopath | 6883 Cascade Rd Se, Grand Rapids, MI 49546-6899 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639791304 | Amanda Marie Blandford | Naturopath | 4655 14 Mile Rd Ne Ste B, Rockford, MI 49341-7308 | 2020-05-15 |
| 1124650643 | Anthony Martinez Beven | Naturopath | 3755 S Baldwin Rd, Lake Orion, MI 48359-1507 | 2020-02-12 |
| 1295377695 | Elijah Silver | Naturopath | 23650 Woodward Ave Ste 104, Pleasant Ridge, MI 48069-1141 | 2019-10-17 |
| 1760958599 | Mariah Dawn Wilson | Naturopath | 3180 Racquet Club Dr Ste B, Traverse City, MI 49684-4797 | 2018-10-19 |
| 1639523988 | Faye Weber | Naturopath | 6613 Lansing Ave, Jackson, MI 49201-7503 | 2016-04-22 |
| 1083098446 | Annalisa Behling | Naturopath | 6007 Miller Rd, Suite 12, Swartz Creek, MI 48473-1901 | 2015-07-16 |
| 1902298334 | Shelson Natural Health LLC. | Naturopath | 21 N Almer St, Caro, MI 48723-1547 | 2015-02-23 |
| 1184047474 | Theresa Debelak | Naturopath | 5062 E S Ave, Vicksburg, MI 49097-8473 | 2014-01-23 |
| 1528319225 | Center for Optimal Health and Wellness, Plc | Naturopath | 2900 Orchard Lake Rd, Suite 2, Keego Harbor, MI 48320-1472 | 2012-09-21 |
| 1104175207 | A Life Aware Yoga and Wellness | Naturopath | 18245 Cherrylawn, Detrot, MI 48221-2013 | 2012-09-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
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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.