AMY RENEE PETERSON (NPI# 1295289023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295289023 |
| Entity Type | Individual |
| Full Name | AMY RENEE PETERSON |
| Practice Address |
121 Casey St Campbellsville KY 42718-6858 |
| Practice Telephone | 2704657768 |
| Mailing Telephone | 2704657768 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2018-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110779 | Amy Peterson | Counselor | 6233 Durand Ave Ste F, Mount Pleasant, WI 53406-4961 | 2019-12-08 |
| 1245765312 | Amy Peterson | Marriage & Family Therapist | 17128 Se 35th St, Bellevue, WA 98008-5820 | 2017-04-26 |
| 1841742137 | Amy Marie Peterson | Health Educator | 31 Fair St, Cold Spring, NY 10516-3005 | 2016-11-02 |
| 1699017764 | Amy S Peterson | Lactation Consultant, Non-RN | 805 4th Ave Dr, Jerome, ID 83338-2104 | 2013-03-26 |
| 1598011843 | Amy Kathleen Peterson | Speech-Language Pathologist | 3515 Central Ave, Cheyenne, WY 82001-1320 | 2012-07-24 |
| 1760757744 | Amy A Peterson | Speech-Language Pathologist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2012-03-09 |
| 1073834446 | Amy Peterson | Doula | 5 Pendexter Rd, Durham, NH 03824-2108 | 2010-06-19 |
| 1316180441 | Amy Adelle Peterson | Licensed Practical Nurse | 4762 Ventura Dr, Toledo, OH 43615-6134 | 2009-04-20 |
| 1770600702 | Amy Lynn Peterson | Occupational Therapist | 611 St Joseph Ave, St Joseph's Hospital, Marshfield, WI 54449-8341 | 2007-03-23 |
| 1285658971 | Amy Sue Peterson | Physical Therapist | 18430 Harvest Meadows Dr W, Westfield, IN 46074-9122 | 2006-07-26 |
| Street Address |
121 CASEY ST |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-6858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686854 | Kaylee Tennison Frost | Counselor | 121 Casey St, Campbellsville, KY 42718-6858 | 2020-07-13 |
| 1801378054 | Grace Elizabeth Arnold | Occupational Therapist | 121 Casey St, Campbellsville, KY 42718-6858 | 2018-09-04 |
| 1316491947 | Lacy Ryan Harris | Speech-Language Pathologist | 121 Casey St, Campbellsville, KY 42718-6858 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| 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 |
|---|---|---|---|---|
| 1831643667 | Julie Vespie Shelton | Specialist | 200 Pickett Rd, Campbellsville, KY 42718-9727 | 2016-08-10 |
| 1770037582 | Traci Young Sharpe | Specialist | 121 Casey St Ste A, Campbellsville, KY 42718-6858 | 2016-08-09 |
| 1083005037 | The Kid Spot | Specialist | 121 Casey St Ste A, Campbellsville, KY 42718-6858 | 2015-02-12 |
| 1740236942 | Anthony P Hayden | Specialist | 1700 Old Lebanon Rd, Taylor County Hospital, Campbellsville, KY 42718-9662 | 2006-05-26 |
| 1316993538 | Curtis E Manning | Specialist | 1700 Old Lebanon Rd, Taylor County Hospital, Campbellsville, KY 42718-9662 | 2006-05-26 |
| 1891749289 | Taylor County Radiology, Psc | Specialist | 1700 Old Lebanon Rd, Taylor County Hospital, Campbellsville, KY 42718-9662 | 2006-05-20 |
| 1619969631 | Galen A Weiss | Specialist | 1698 Old Lebanon Rd, Suite 3a, Campbellsville, KY 42718-9662 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
| 1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
| 1497303861 | Advanced Neuromonitoring Associates, Inc. | Specialist | 3802 Arbor Way, Crestwood, KY 40014-8222 | 2019-08-29 |
| 1225509979 | Karen Rae Digirolamo | Specialist | 800 Rose St Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1043781792 | Jennifer Bradley | Specialist | 800 Rose Street Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1215407242 | Ann Powell | Specialist | 800 Rose Street Whitney Hendrickson Suite 306, Lexington, KY 40536-0001 | 2018-12-03 |
| 1922578160 | Robert B Slocum | Specialist | Whitney-hendrickson Building 3rd Floor, Lexington, KY 40536-0001 | 2018-11-30 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1346735214 | Stepp Fitness | Specialist | 1306 Kingdom Come Dr, Cumberland, KY 40823-1580 | 2018-06-24 |
| 1760972954 | Surgical First Assisting LLC | Specialist | 220 Mcintosh Dr, Taylorsville, KY 40071-8404 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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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.