MS. STACIE PETERSEN (NPI# 1265835391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265835391 |
| Entity Type | Individual |
| Full Name | MS. STACIE PETERSEN |
| Credential | RN, CDE |
| Practice Address |
430 N Monitor St West Point NE 68788-1595 |
| Practice Telephone | 4023722404 |
| Practice Fax Number | 4023722360 |
| Mailing Telephone | 4023722404 |
| Mailing Fax Number | 4023722360 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
49907 | NE | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
49907 | NE | Nursing Service Providers |
| Street Address |
430 N MONITOR ST |
| City | WEST POINT |
| State | NE |
| Zip Code | 68788-1595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043224975 | Franciscan Care Services Inc | Nutritionist | 430 N Monitor St, West Point, NE 68788-1595 | 2006-07-28 |
| 1831710441 | Franciscan Care Services Inc | Pharmacy | 430 N Monitor St, West Point, NE 68788-1595 | 2020-05-05 |
| 1730700444 | Elisha Kirchmann | Occupational Therapy Assistant | 430 N Monitor St, West Point, NE 68788-1555 | 2020-05-04 |
| 1245883966 | Mary F Brockmann | Nurse Practitioner | 430 N Monitor St, West Point, NE 68788-1555 | 2019-07-22 |
| 1588134753 | Michelle R Green | Dietitian, Registered | 430 N Monitor St, West Point, NE 68788-1555 | 2018-11-30 |
| 1699206227 | Amanda Hegy | Occupational Therapist | 430 N Monitor St, West Point, NE 68788-1555 | 2017-03-24 |
| 1164976858 | Cally Tejkl | Occupational Therapist | 430 N Monitor St, West Point, NE 68788-1555 | 2016-08-10 |
| 1447704127 | Carrie Nicole Maryott | Physical Therapy Assistant | 430 N Monitor St, West Point, NE 68788-1555 | 2016-08-10 |
| 1467878710 | Terry F Nelson | Physical Therapist | 430 N Monitor St, West Point, NE 68788-1555 | 2014-03-11 |
| 1124302252 | Ashley Rose Hass | Social Worker | 430 N Monitor St, West Point, NE 68788-1555 | 2011-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619458023 | Amy K Schantz | Counselor | 221 E Grant Street, West Point, NEBRASKA 68788 | 2018-08-23 |
| 1699829903 | Nichole A. Chambliess | Occupational Therapist | 430 N. Monitor St., St. Francis Hospital, West Point, NE 68788 | 2007-01-23 |
| 1447326889 | Frank J Kowal | Dentist | 212 So Main St, General Practice, West Point Nebr, NE 68788 | 2006-11-28 |
| 1639638067 | Christa Carr | Pharmacist | 303 Plaza Dr, West Point, NE 68788 | 2019-03-15 |
| 1093250631 | Tessa Recker | Speech-Language Pathologist | 1200 E Washington St, West Point, NE 68788 | 2017-01-05 |
| 1023415700 | Julie Ann Neiman | Occupational Therapist | 960 Prospect Rd, West Point, NE 68788 | 2014-11-25 |
| 1568546950 | David Mlnarik | Dentist | 910 N Lincoln St, West Point, NE 68788-1002 | 2006-10-24 |
| 1235511213 | Kralik Dakota Dental, P.C. | Clinic/Center | 910 N Lincoln St, West Point, NE 68788-1002 | 2015-06-25 |
| 1891955522 | Jesse D Carr | Dentist | 910 N Lincoln St, West Point, NE 68788-1002 | 2008-06-16 |
| 1821173204 | Shawn Kralik | Dentist | 910 N Lincoln St, West Point, NE 68788-1002 | 2006-10-26 |
| Find all providers in zip 68788 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023521481 | Karlene Ann Dettwiller | Registered Nurse | 9695 N 1st Street, Prosser, NE 68883 | 2017-11-08 |
| 1619418209 | Opeyemi Oloyede | Registered Nurse | 4715 S 132nd St, Omaha, NE 68137-1701 | 2017-03-15 |
| 1124182845 | Jacquie Montag | Registered Nurse | 2301 N 117th Ave, Suite 202, Omaha, NE 68164-3483 | 2006-12-20 |
| 1114499142 | Lauren Cox | Registered Nurse | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2019-01-02 |
| 1952833089 | Precious Davis | Registered Nurse | 900 S 74th Plz, Omaha, NE 68114-4675 | 2017-03-29 |
| 1114175643 | Cheryl E Richards | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2008-09-09 |
| City | WEST POINT |
| Zip Code | 68788 |
Please comment or provide details below to improve the information on MS. STACIE PETERSEN.
| 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.