SUSAN MARGARET PETERSON (NPI# 1396738803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396738803 |
| Entity Type | Individual |
| Full Name | SUSAN MARGARET PETERSON |
| Credential | ARNP |
| Practice Address |
J457 Kentucky Clinic 740 South Limestone St Lexington KY 40536-0284 |
| Mailing Address |
3202 Montavesta Rd Lexington KY 40502-3510 |
| Practice Telephone | 8592576033 |
| Practice Fax Number | 8592579822 |
| Mailing Telephone | 8592692753 |
| Mailing Fax Number | 8592579822 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2770P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78005675 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801378021 | Susan Nell Peterson | Speech-Language Pathologist | 1045 18th St Sw, Huron, SD 57350-3464 | 2018-09-04 |
| 1366709750 | Susan Harper Peterson | Counselor | 1560 Olympia Cir, #103, Castle Rock, CO 80104-5464 | 2012-04-23 |
| 1972819712 | Susan Karen Peterson | Dietitian, Registered | 3965 Crystal Lake Trl, Faribault, MN 55021-7974 | 2010-08-30 |
| 1255475166 | Susan Peterson | Psychologist | 924 Old Harmony Rd, Suite 201, Newark, DE 19713-4184 | 2007-02-16 |
| 1922178839 | Susan F Peterson | Respiratory Therapist, Registered | 61 Broad Reach, T114-b, North Weymouth, MA 02191-2229 | 2006-11-08 |
| 1104908540 | Susan Peterson | Physical Therapist | 134 Drury Dr, La Plata, MD 20646-4241 | 2006-10-19 |
| 1013014349 | Susan K. Peterson | Social Worker | 1513 25th Ave, Seattle, WA 98122-3017 | 2006-09-20 |
| 1497860480 | Susan A Peterson | Occupational Therapist | 13253 E Playfield Dr, Crestwood, IL 60445 | 2006-08-20 |
| 1003854217 | Susan Mary Peterson | Registered Nurse | 20600 Milton Ct, Brookfield, WI 53045-4020 | 2006-06-02 |
| 1902802382 | Susan Jane Peterson | Registered Nurse | 19555 E Parker Square Dr, Ste 215, Parker, CO 80134-7304 | 2005-06-22 |
| Street Address |
J457 KENTUCKY CLINIC 740 SOUTH LIMESTONE ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| 1578161303 | Mariem Kader | Nurse Practitioner | 3622 White Pine Dr, Lexington, KY 40514-1740 | 2020-10-14 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| 1649878992 | Margaret Bunch | Nurse Practitioner | 171 W Lowry Ln Ste 132, Lexington, KY 40503-3006 | 2020-10-09 |
| 1831701572 | Jillian Leigh Butcher | Nurse Practitioner | 2917 Mahala Ln, Lexington, KY 40509-8555 | 2020-08-22 |
| 1033721154 | Heart Rescue Cpr LLC | Nurse Practitioner | 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 | 2020-08-19 |
| 1619588241 | Jordyn L Bush | Nurse Practitioner | 124 Clay Ave, Lexington, KY 40502-1702 | 2020-08-17 |
| Find all providers in LEXINGTON | ||||
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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.