MRS. AMY L PETERS (NPI# 1417406489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417406489 |
Entity Type | Individual |
Full Name | MRS. AMY L PETERS |
Other Name | AMY L EVANS WIDMEYER |
Credential | AGPCNP-BCNP |
Practice Address |
1242 E Independence St #200 Springfield MO 65804-4284 |
Practice Telephone | 4178835500 |
Mailing Telephone | 4178835500 |
Enumeration Date | 2016-10-01 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2016032819 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1164603973 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518573062 | Amy Lee Peters | Speech-Language Pathologist | 9571 Stone Rd, Fredonia, NY 14063-9640 | 2020-09-21 |
1124395439 | Amy L Peters | Pharmacist | 4774 Wellington Dr, Long Grove, IL 60047-5223 | 2011-11-30 |
1598045874 | Amy Elizabeth Peters | Physician Assistant | Psc 3 Box 1117, Apo, AE 09021-0012 | 2011-08-18 |
1043529654 | Amy Lynn Peters | Registered Nurse | 904 Parkside Ln, Mason, OH 45040-2314 | 2010-09-29 |
1013229673 | Amy Marie Peters | Speech-Language Pathologist | 3986 Lilac Ln, Mountain Green, UT 84050-6800 | 2010-07-11 |
1154517944 | Amy Dawn Peters | Speech-Language Pathologist | 580 Nw Oak Ave, Corvallis, OR 97330-1513 | 2007-09-14 |
1699261941 | Amy T Peters | Psychologist | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2018-07-10 |
1891285706 | Amy Meredith Peters | Physical Therapist | 16815 S Desert Foothills Pkwy, Phoenix, AZ 85048-8401 | 2018-05-16 |
1740731082 | Amy Peters | Occupational Therapy Assistant | 1445 N 7th St, Manitowoc, WI 54220-2011 | 2016-10-21 |
1396116620 | Amy Peters | Nurse Practitioner | 210 Sharon Rd Ste B2, Circleville, OH 43113-1498 | 2015-10-13 |
Street Address |
1242 E INDEPENDENCE ST #200 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65804-4284 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
Find all providers in zip 65804 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
1962906552 | Caroline Mcgarr Butler | Nurse Practitioner | 368 River St Ste 160, Springfield, VT 05156-2242 | 2018-03-20 |
1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
1598298457 | Summer Tipton | Nurse Practitioner | 2140 S Hillcrest Ave, Springfield, MO 65807-2108 | 2017-04-07 |
1679833271 | Sentew Care Nurse Practitioner LLC | Nurse Practitioner | 8322 Bark Tree Ct, Springfield, VA 22153-3828 | 2012-05-17 |
1508157140 | Springfield Internal Medicine Group | Nurse Practitioner | 1435 E Bradford Pkwy, Suite 105, Springfield, MO 65804-6563 | 2011-05-01 |
1043533128 | Keri Lynn Sutton | Nurse Practitioner | 1730 E Republic Rd Ste K, Springfield, MO 65804-6519 | 2010-03-03 |
1093967630 | Maire Alexander | Nurse Practitioner | 7939 Lake Pleasant Dr, Springfield, VA 22153-2750 | 2008-10-15 |
1790937498 | Marlene Karen Schmitz | Nurse Practitioner | 385 Morris Ave Ste 100, Springfield, NJ 07081-1100 | 2008-10-14 |
1184807372 | Josephine Celi Mamaril | Nurse Practitioner | 30 Joanne Way, Springfield, NJ 07081-1921 | 2007-12-11 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65804 |
Please comment or provide details below to improve the information on MRS. AMY L PETERS.
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.