MR. JOHN A PETERSON (NPI# 1417382664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417382664 |
| Entity Type | Individual |
| Full Name | MR. JOHN A PETERSON |
| Credential | RN, ACNP BC (APRN) |
| Practice Address |
610 Stickland Suite 320 Orange TX 77611 |
| Mailing Address |
610 Stickland Suite 320 Orange TX 77630 |
| Practice Telephone | 4098835300 |
| Practice Fax Number | 4098835394 |
| Mailing Telephone | 4098835300 |
| Mailing Fax Number | 4098835394 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 596368 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361119 | John Kendall Peterson Jr. | Respiratory Therapist, Registered | 522 Old Colony Rd, South Abington Township, PA 18411-1604 | 2020-06-17 |
| 1740567437 | John Peterson | Durable Medical Equipment & Medical Supplies | 23649 Castle Rock, Mission Viejo, CA 92692-1897 | 2011-11-08 |
| 1366738486 | John M Peterson | Optometrist | 545 S Broadway Ste 500, Denver, CO 80209-4076 | 2011-06-27 |
| 1598905929 | John Michael Peterson | Dentist | 12427 S 4000 W, Ste 200, Riverton, UT 84065 | 2009-02-25 |
| 1457476723 | John R Peterson | Dentist | 3207 Saint Paul Blvd, Rochester, NY 14617-3436 | 2007-03-19 |
| 1295875953 | John Gregory Peterson | Dentist | 9201 W Overland Rd, Boise, ID 83709-2502 | 2007-02-08 |
| 1912065483 | John R Peterson | General Practice | 212 S Mill St, Rushford, MN 55971 | 2006-12-05 |
| 1154404226 | John M Peterson | Neuromusculoskeletal Medicine & OMM | 72 Barre St, Montpelier, VT 05602-3508 | 2006-10-23 |
| 1952408577 | John Michael Peterson | Dentist | 349 W Center St, West Bridgewater, MA 02379-1621 | 2006-09-17 |
| 1023111002 | John Cleve Peterson IIi | Family Medicine | 7030 N Mercer Way, Mercer Island, WA 98040-2130 | 2006-09-06 |
| Street Address |
610 STICKLAND SUITE 320 |
| City | ORANGE |
| State | TX |
| Zip Code | 77611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427550730 | Lan Thi Pham | Licensed Vocational Nurse | 840 Delaware Dr, Bridge City, TX 77611 | 2018-03-02 |
| 1548716442 | Sara L. Lewis, Csfa, LLC | Physician Assistant | 820 W Round Bunch Rd, Bridge City, TX 77611 | 2016-08-30 |
| 1407144363 | Yooshun Chung | Student in an Organized Health Care Education/Training Program | 1860 Texas Avenue, Bridge City, TX 77611 | 2011-07-13 |
| 1063588796 | Daniel A Crain | Family Medicine | 960 W Roundbunch Rd, Bridge City, TX 77611 | 2006-11-27 |
| 1144233388 | Jerry R Stone | Pharmacist | 1160 Texas Ave, Bridge City, TX 77611 | 2006-08-15 |
| 1679587034 | Scott Ballard | Chiropractor | 2158 Texas Avenue, Bridge City, TX 77611 | 2006-07-28 |
| 1457809907 | Sara Lewis | Physician Assistant | 820 W Round Bunch Rd, Bridge City, TX 77611 | 2016-09-13 |
| 1093165870 | April Cockerham | Nurse Practitioner | 179 Tiger Lily St, Bridge City, TX 77611-2223 | 2016-06-13 |
| 1053736652 | Golden Triangle First Assisting, Pllc | Registered Nurse | 825 Carolina Dr, Bridge City, TX 77611-2309 | 2014-02-19 |
| 1851870604 | Melissa Smith | Registered Nurse | 212 Fernwood St, Bridge City, TX 77611-2328 | 2018-08-13 |
| Find all providers in zip 77611 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532546 | Shauna Ann Nelson | Nurse Practitioner | 886 S Ponderosa St, Orange, CA 92866-3431 | 2019-05-06 |
| 1073742920 | Shawn Eric Allison | Nurse Practitioner | 628 Azalea Ave, Orange, TX 77630-4514 | 2009-07-13 |
| 1952557191 | April Ruth Barrio | Nurse Practitioner | 501 City Drive South, Health Care Agency, Orange, CA 92868-3390 | 2008-08-07 |
| 1225113293 | Mahnaz Baradar | Nurse Practitioner | 845 W La Veta Ave Ste 105, Orange, CA 92868-3930 | 2006-10-26 |
| 1417053026 | Aiping Dai | Nurse Practitioner | 1310 W Stewart Dr Ste 610, Orange, CA 92868-3857 | 2006-09-15 |
| 1447295001 | Kathleen Doan | Nurse Practitioner | 331 The City Dr S, Orange, CA 92868-3205 | 2006-06-18 |
| 1003866195 | Elizabeth Cuevas | Nurse Practitioner | 2607 Western Ave, Orange, TX 77630-6133 | 2006-05-11 |
| 1548219876 | Reatha Jeannette Bradberry I | Nurse Practitioner | 3838 W Park Ave, Orange, TX 77630-1812 | 2006-05-05 |
| 1568071660 | Elizabeth Ann Custodio | Nurse Practitioner | 170 S Main St, Orange, CA 92868-2801 | 2020-07-24 |
| 1982244752 | Aimie Angeletti | Nurse Practitioner | 477 Boston Post Rd Ste 2e, Orange, CT 06477-3548 | 2020-01-09 |
| Find all providers in ORANGE | ||||
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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.