ANNE M PETERSON (NPI# 1447688312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447688312 |
| Entity Type | Individual |
| Full Name | ANNE M PETERSON |
| Other Name | ANNE M FREEMAN |
| Practice Address |
3399 E Louise Dr Ste 400 Meridian ID 83642-5047 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083643000 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA112 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1407914518 | Anne Virginia Peterson | Psychologist | Stadium Rd, 235 Counseling Ctr, Stony Brook, NY 11794-3100 | 2006-12-04 |
| 1497373385 | Anne Desenis Peterson | Physical Therapist | 1860 W Winchester Rd Ste 108, Libertyville, IL 60048-5312 | 2020-07-08 |
| 1306247705 | Anne Peterson | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2014-09-04 |
| 1467787069 | Anne Elizabeth Peterson | Recreation Therapist | 1660 S Columbian Way, Rcs-117-s, Seattle, WA 98108-1532 | 2009-10-15 |
| Street Address |
3399 E LOUISE DR STE 400 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740231620 | Roberto V. Barresi | Surgery | 3399 E Louise Dr, Ste 400, Meridian, ID 83642-5047 | 2006-05-15 |
| 1235761818 | Jessa Cook | Specialist/Technologist | 3399 E Louise Dr, Meridian, ID 83642-5211 | 2020-02-11 |
| 1245789536 | Lauren Galligar | Physician Assistant | 3399 E Louise Dr, Meridian, ID 83642-5047 | 2016-09-27 |
| 1841615754 | Kelly Carman | Surgery | 3399 E Louise Dr, Meridian, ID 83642-5211 | 2014-02-28 |
| 1568731925 | St Lukes Regional Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3399 E Louise Dr, Ste 400, Meridian, ID 83642-5047 | 2011-12-14 |
| 1902188147 | Wendy M. Jones | Physician Assistant | 3399 E Louise Dr, Suite 400, Meridian, ID 83642-5047 | 2011-09-14 |
| 1457382723 | Jonathan V. Giles | Surgery | 3399 E Louise Dr, Suite 400, Meridian, ID 83642-5047 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982937066 | Don H Curtis | Physician Assistant | 348 W Bloomington Dr, Meridian, ID 83642-6942 | 2009-09-08 |
| 1801073655 | Tracy D. Mickelsen | Physician Assistant | 3015 E Magic View Dr, Meridian, ID 83642-3743 | 2008-01-23 |
| 1245789536 | Lauren Galligar | Physician Assistant | 3399 E Louise Dr, Meridian, ID 83642-5047 | 2016-09-27 |
| 1780086249 | Abby M Thames | Physician Assistant | 1521 A 22nd Avenue, Meridian, MS 39301 | 2014-09-16 |
| 1093853871 | William B Curtis | Physician Assistant | 520 S Eagle Rd, Suite 1201, Meridian, ID 83642-6308 | 2007-02-02 |
| 1497850424 | Lori Mcmullen | Physician Assistant | 2111 14th St, Meridian, MS 39301-4041 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218089 | Michael Keegan Huntsman | Physician Assistant | 730 Aspen Ave, Shelley, ID 83274-1400 | 2020-06-03 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1831647197 | Nicholas Hensley | Physician Assistant | 3155 Channing Way Ste B, Idaho Falls, ID 83404-7534 | 2016-09-15 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1356437172 | Clare Elizabeth York | Physician Assistant | 805 Main St., Salmon, ID 83467 | 2006-10-05 |
| 1891707618 | Brian Keith Lachapelle | Physician Assistant | 6140 W Curtisan, Ste 102, Boise, ID 83704 | 2006-08-12 |
| 1992743215 | Bill Stahlberg | Physician Assistant | 211 Forest St, Mccall, ID 83638-5256 | 2006-06-02 |
| 1780641530 | Alicia R Borst | Physician Assistant | 3960 W. Wainwright, Boise, ID 83713 | 2006-04-26 |
| 1275047409 | Alexx Sliman | Physician Assistant | 425 Idaho St, Gooding, ID 83330-1258 | 2017-11-27 |
| 1487168118 | Kami Bowcut | Physician Assistant | 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 | 2017-11-16 |
| Find all providers with the same taxonomy | ||||
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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.