CAROLYN PETERSON (NPI# 1285802017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285802017 |
| Entity Type | Individual |
| Full Name | CAROLYN PETERSON |
| Practice Address |
301 Andrews Ave Ft. Rucker AL 36362 |
| Practice Telephone | 3342557883 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2-033900 | AL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023569696 | Carolyn N. Peterson | Dietitian, Registered | 1615 Waybridge Ln, Apt 1e, Charlotte, NC 28210-5769 | 2016-10-19 |
| 1215332846 | Carolyn Peterson | Speech-Language Pathologist | 239 Grannys Garden Rd, Libby, MT 59923-9218 | 2014-10-24 |
| 1922340157 | Carolyn Peterson | Counselor | 14623 Ne North Woodinville Way, Suite #106, Woodinville, WA 98072-8475 | 2013-03-26 |
| 1548442874 | Carolyn Ann Peterson | Psychologist | 3215 Fortune Ct, Auburn, CA 95602-9245 | 2007-11-28 |
| 1750792669 | Carolyn M Peterson | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 304, Portland, OR 97224-7258 | 2014-05-13 |
| 1033406509 | Carolyn Peterson | Social Worker | 610 Campus Dr, Abingdon, VA 24210-2589 | 2011-07-06 |
| 1770814485 | Carolyn S Peterson | Social Worker | 2092 S Custer Rd, Monroe, MI 48161-1831 | 2010-01-20 |
| 1477535334 | Carolyn G Peterson | Physician Assistant | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-16 |
| Street Address |
301 ANDREWS AVE |
| City | FT. RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134472004 | Ann M Strain | Registered Nurse | 301 Andrews Ave, Building 301, Ft. Rucker, AL 36362-5105 | 2012-10-17 |
| 1184917478 | Denise Hope Souza | Physician Assistant | 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2011-05-19 |
| 1942516810 | Janet Lou Strickland | Social Worker | 301 Andrews Ave, Suite T-125, Ft. Rucker, AL 36362-5333 | 2010-08-29 |
| 1568613271 | Barbara Lisa Rawlings | Registered Nurse | 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2008-10-01 |
| 1851563563 | Cindy Flowers | Licensed Practical Nurse | 301 Andrews Ave, Ft. Rucker, AL 36362 | 2008-04-02 |
| 1063680734 | Shanice Coleman | Technician | 301 Andrews Ave, Ft. Rucker, AL 36362 | 2008-02-15 |
| 1386812014 | Mary Reynolds | Licensed Practical Nurse | 301 Andrews Ave, Ft. Rucker, AL 36362 | 2008-02-15 |
| 1558347401 | Kathy Olbeter | Physician Assistant | 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2005-12-21 |
| 1184605701 | Deborah Anne Delk | Nurse Practitioner | 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2005-11-10 |
| 1205827870 | Leslie M. George | Social Worker | 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36363 | 2005-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003086240 | Donald William Brooks | Licensed Practical Nurse | Lach, Building 301, Ft. Rucker, AL 36362 | 2008-03-04 |
| 1679741672 | Opal D Miller | Licensed Practical Nurse | Bldg 301, Usaamc, Andrews Ave, Ft. Rucker, AL 36362 | 2008-02-13 |
| 1396122958 | Summer R Register | Licensed Practical Nurse | 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2015-05-04 |
| 1881984789 | Athena Watson | Licensed Practical Nurse | Building 301 Andrews Avenue, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2011-04-12 |
| 1851563563 | Cindy Flowers | Licensed Practical Nurse | 301 Andrews Ave, Ft. Rucker, AL 36362 | 2008-04-02 |
| 1386812014 | Mary Reynolds | Licensed Practical Nurse | 301 Andrews Ave, Ft. Rucker, AL 36362 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508466 | Latoya Latrice White | Licensed Practical Nurse | 1636 N Brownlee St, Birmingham, AL 35207-1100 | 2020-11-02 |
| 1366068678 | Courtney L Mcpherson | Licensed Practical Nurse | 1211 7th Ave, Phenix City, AL 36867-5801 | 2020-06-23 |
| 1649894650 | Renita C Hill | Licensed Practical Nurse | 1512 Center Point Pkwy Ste 101, Birmingham, AL 35215-5675 | 2020-06-05 |
| 1093343949 | Angela Donner | Licensed Practical Nurse | 31 Kathleen Cir, Phenix City, AL 36869-5619 | 2020-03-27 |
| 1487280970 | Latasha Nichelle Taylor | Licensed Practical Nurse | 1949 Hanchey Rd, Birmingham, AL 35214-2007 | 2020-03-17 |
| 1306471800 | Seprina Thomas | Licensed Practical Nurse | 8632 9th Court Cir S, Birmingham, AL 35206-3507 | 2020-03-05 |
| 1598224750 | Keshia R Thornton | Licensed Practical Nurse | 5122 Rime Vlg, Vestavia Hills, AL 35216-6457 | 2019-03-18 |
| 1851857494 | Latara Chenay Speed | Licensed Practical Nurse | 201 Mamie Ln, Birmingham, AL 35215-7107 | 2019-02-19 |
| 1164904660 | Regina Mitchell | Licensed Practical Nurse | 5853 Brewbaker Blvd, Montgomery, AL 36116-4259 | 2018-08-30 |
| 1366922445 | Sophia D Loyd | Licensed Practical Nurse | 701 S 5th St Apt A, Gadsden, AL 35901-5184 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
| City | FT. RUCKER |
| Zip Code | 36362 |
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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.