MRS. CARRIE LOUISE PETERSON (NPI# 1366595712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366595712 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE LOUISE PETERSON |
| Credential | CRNA |
| Practice Address |
1526 Northway Dr Saint Cloud MN 56303-1255 |
| Mailing Address |
1901 Grizzly Ln Sartell MN 56377-2070 |
| Practice Telephone | 3202518385 |
| Mailing Telephone | 3202301585 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 043925 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE RAILROAD | P00212663 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558575456 | Carrie Elene Peterson | Social Worker | 89 Winthrop St, Holliston, MA 01746-2319 | 2007-05-09 |
| 1538164165 | Carrie N Peterson | Dentist | 3226 13th Ave S, Fargo, ND 58103 | 2005-06-20 |
| 1992283568 | Carrie Ann Peterson | Speech-Language Pathologist | 750 Pasquinelli Dr Ste 204, Westmont, IL 60559-1291 | 2018-08-05 |
| 1881055291 | Carrie Jean Peterson | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004 | 2016-03-11 |
| 1366843963 | Carrie Peterson | Counselor | 3200 W Highland Blvd, Milwaukee, WI 53208 | 2014-09-15 |
| 1457790842 | Carrie Dawn Peterson | Student in an Organized Health Care Education/Training Program | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2013-06-18 |
| 1851674485 | Carrie Jo Peterson | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2011-09-20 |
| 1881836609 | Carrie Beth Peterson | Dentist | 1605 Se 29th St, Topeka, KS 66605-2601 | 2009-03-25 |
| 1407004021 | Carrie Maureen Peterson | Social Worker | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2008-09-08 |
| 1376707729 | Carrie Yvonne Peterson | Surgery | 9200 W Wisconsin Ave, Colorectal Surgery, Milwaukee, WI 53226-3522 | 2008-07-15 |
| Street Address |
1526 NORTHWAY DR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084843 | St Cloud Outpatient Surgery Ltd | Clinic/Center | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2006-04-21 |
| 1558985747 | Bobbi Jo Majerus | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2020-06-03 |
| 1265912943 | Mrs Sandman LLC | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2018-08-21 |
| 1669971735 | Manuel R Moran | Clinic/Center | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2018-02-05 |
| 1568858652 | St. Cloud Outpatient Surgery, Ltd. | Clinic/Center | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2015-04-15 |
| 1720235419 | St Cloud Outpatient Surgery Ltd | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2008-08-25 |
| 1457479495 | Betsy S Ellingson | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2007-03-27 |
| 1356468367 | Carol Jean Iverson | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2007-03-23 |
| 1972620953 | Deborah A Idland | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2007-03-23 |
| 1306963319 | Sandra S Henschke | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2007-03-23 |
| 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 MRS. CARRIE LOUISE PETERSON.
| 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.