SAM RICHARD PETERSEN (NPI# 1386900728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386900728 |
| Entity Type | Individual |
| Full Name | SAM RICHARD PETERSEN |
| Credential | CRNP |
| Practice Address |
201 Sivley Rd Sw Ste 500 Huntsville AL 35801-5177 |
| Practice Telephone | 2562653881 |
| Mailing Telephone | 2562653881 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1-109909 | AL | Nursing Service Providers |
| Street Address |
201 SIVLEY RD SW STE 500 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-5177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780237859 | Haley Brooke Phillips | Hospitalist | 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801-5177 | 2019-07-18 |
| 1427544675 | Linday Leigh Cole | Nurse Practitioner | 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801-5177 | 2018-07-10 |
| 1578010203 | Chrystal Audrey Simpson | Nurse Practitioner | 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801-5177 | 2016-09-11 |
| 1932554086 | Michael Alexander Richardson | General Acute Care Hospital | 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801-5177 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1508483454 | Davonia Taylor | Registered Nurse | 1505 Sparkman Dr Nw Apt 104, Huntsville, AL 35816-2642 | 2020-06-26 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1720617277 | Lauren Alexandria Zito | Registered Nurse | 121 River Downs Dr, Huntsville, AL 35811-8898 | 2020-04-06 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1114492790 | Jemimah Njeri Ndungu | Registered Nurse | 2830 Lake Rd Apt 707, Huntsville, TX 77340-5656 | 2018-10-10 |
| 1336649037 | Marjorie Archie | Registered Nurse | 2203 Dale Ln, Huntsville, TX 77320-9400 | 2018-02-19 |
| 1588173611 | Melissa Anne Carter | Registered Nurse | 4820 University Sq, Huntsville, AL 35816 | 2017-09-20 |
| 1538617352 | Tiffany Lawrence Johnson | Registered Nurse | 500 Governor's Dr Sw, Huntsville, AL 35801 | 2016-09-21 |
| 1740428531 | Brenda Renee Gerber | Registered Nurse | 2356 County Road 57 W, Huntsville, OH 43324-9731 | 2009-02-02 |
| 1114185287 | Mary Sue Wheeler | Registered Nurse | Uah College of Nursing, Nursing Building, Huntsville, AL 35899-0001 | 2008-05-27 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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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.