REBECCA A PETERSEN (NPI# 1336442144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336442144 |
| Entity Type | Individual |
| Full Name | REBECCA A PETERSEN |
| Credential | CRNA |
| Practice Address |
1406 6th Ave N Saint Cloud MN 56303-1900 |
| Mailing Address |
Po Box 725 Saint Cloud MN 56302-0725 |
| Practice Telephone | 3202583090 |
| Mailing Telephone | 3202583090 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R 194098-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619495108 | Rebecca Marie Petersen | Acupuncturist | 7550 France Ave S Ste 240, Edina, MN 55435-4821 | 2017-09-05 |
| 1053791954 | Rebecca J Petersen | Dentist | 8325 Seasons Parkway Suite 103, Healthpartners Woodbury Dental, Woodbury, MN 55125-3477 | 2015-06-04 |
| 1962835157 | Rebecca Petersen | Pharmacist | 770 S 400 E Apt 50, Brigham City, UT 84302-3351 | 2013-08-12 |
| 1306403183 | Rebecca Jarratt Petersen | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2019-05-28 |
| 1396262226 | Rebecca Petersen | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2017-08-22 |
| 1902349947 | Rebecca Jo Petersen | Nurse Practitioner | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2016-11-23 |
| 1851666168 | Rebecca Jean Petersen | Obstetrics & Gynecology | 701 Park Ave, Mailcode P5, Department of Ob/gyn, Minneapolis, MN 55415-1623 | 2012-03-20 |
| 1205125952 | Rebecca Y. Petersen | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-04-04 |
| 1124352174 | Rebecca Lee Petersen | Social Worker | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2009-09-23 |
| 1871760280 | Rebecca Prince Petersen | Surgery | 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-0001 | 2008-05-14 |
| Street Address |
1406 6TH AVE N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149939 | Ralph E Fedor | Radiology | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2005-07-26 |
| 1558962399 | Amanda Lee King | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-11-06 |
| 1912512302 | Fadumo Hassan | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-09-11 |
| 1083228092 | Kristin Deneille Hazeman | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1901 | 2020-09-07 |
| 1508477845 | Taylor Dean Olson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-11 |
| 1407467749 | Traci Jo Salveson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-11 |
| 1487264164 | Cameron Charles Hendrickson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-06 |
| 1154931475 | Megan Ann Brown | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-01 |
| 1326657255 | Amanda J Dircks | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-07-27 |
| 1003439241 | Mary Elizabeth Amundson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598183923 | Northland Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2055 15th St N Ste B, Saint Cloud, MN 56303-1543 | 2014-04-02 |
| 1801226923 | Scott Bertram | Nurse Anesthetist, Certified Registered | 1769 Poppy Rd, Saint Cloud, MN 56303-0634 | 2013-11-26 |
| 1477985505 | Barbara Jean Quick | Nurse Anesthetist, Certified Registered | 6358 Oak Shore Dr, Saint Cloud, FL 34771-8641 | 2013-07-31 |
| 1114232766 | Gregory S. Erickson | Nurse Anesthetist, Certified Registered | 1117 7th St N Apt 11, Saint Cloud, MN 56303-3419 | 2010-08-06 |
| 1972695302 | Mary C Macleod | Nurse Anesthetist, Certified Registered | 3701 12th St N Ste 202, Saint Cloud, MN 56303 | 2006-09-30 |
| 1033173695 | Penny Renee Janorschke | Nurse Anesthetist, Certified Registered | 1406 6th St N, Saint Cloud, MN 56303-3305 | 2006-04-12 |
| 1558985747 | Bobbi Jo Majerus | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2020-06-03 |
| 1881237840 | Laura Anne Karnik | Nurse Anesthetist, Certified Registered | 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 | 2019-10-22 |
| 1184267445 | Vera Gesare Lwanga-zaman | Nurse Anesthetist, Certified Registered | 1406 6th Ave N, Saint Cloud, MN 56303-1901 | 2019-10-18 |
| 1083256135 | Amanda Lynn Braun | Nurse Anesthetist, Certified Registered | 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 | 2019-10-10 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on REBECCA A 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.