MEREDITH PETERSON (NPI# 1245636810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245636810 |
| Entity Type | Individual |
| Full Name | MEREDITH PETERSON |
| Practice Address |
3902 Sandalwood Ln Suite 140 Pueblo CO 81005-7501 |
| Practice Telephone | 7192489797 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 16360 | CO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776372 | Meredith Peterson | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2020-09-25 |
| Street Address |
3902 SANDALWOOD LN SUITE 140 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245608538 | Paladina Health, LLC | Family Medicine | 3902 Sandalwood Ln, Suite 130, Pueblo, CO 81005-7501 | 2015-09-03 |
| 1891191466 | Jennifer Harmes | Specialist | 3902 Sandalwood Ln, Suite 140, Pueblo, CO 81005-7501 | 2014-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335909 | Parkview Ancillary Services | Specialist | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2019-09-19 |
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1073836029 | Karl Hapcic, Md, LLC | Specialist | 1315 S Pueblo Blvd Ste 110, Pueblo, CO 81005-2192 | 2010-03-04 |
| 1831309129 | J. Valentine Cichon, Md PC | Specialist | 312 N Prairie Ave, Pueblo, CO 81005-1371 | 2007-05-23 |
| 1124237730 | Larry Edward Terrell | Specialist | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2007-05-21 |
| 1851412134 | Southern Colorado Ent & Allergy LLC | Specialist | 3676 Parker Blvd Ste 320, Pueblo, CO 81008-2213 | 2007-04-03 |
| 1356492219 | Corwin Clinic Surgical Professional Corp | Specialist | 1925 E Orman Ave Ste A109, Pueblo, CO 81004-3555 | 2007-01-16 |
| 1841391596 | William V Watson | Specialist | 3530 Spaulding Ave, Pueblo, CO 81008-2209 | 2006-09-26 |
| 1265477046 | Camille George Azar | Specialist | 1020 Lakeview Ave, Pueblo, CO 81004-3508 | 2006-06-17 |
| 1386699486 | Southern Colorado Radiologists, P.C. | Specialist | 1619 N Greenwood St Ste 103, Pueblo, CO 81003-2655 | 2006-05-24 |
| Find all providers in PUEBLO | ||||
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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.