MS. LATRICIA ANN ALT-PETERS (NPI# 1467611657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467611657 |
| Entity Type | Individual |
| Full Name | MS. LATRICIA ANN ALT-PETERS |
| Credential | APRN, CNP |
| Practice Address |
13045 Falcon Dr Suite 100 Baxter MN 56425-4201 |
| Mailing Address |
Po Box 367 Little Falls MN 56345 |
| Practice Telephone | 2188299307 |
| Practice Fax Number | 2188297649 |
| Mailing Telephone | 3206326647 |
| Mailing Fax Number | 3206329525 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2017-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP2129 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | DEA# | MA2498227 | 01 |
| MN | 834755700 | 05 |
| Street Address |
13045 FALCON DR SUITE 100 |
| City | BAXTER |
| State | MN |
| Zip Code | 56425-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346269032 | Donna Sue Peterson | Psychologist | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2006-07-19 |
| 1750947164 | Shelly Jones | Counselor | 13045 Falcon Dr, Baxter, MN 56425-4201 | 2019-05-13 |
| 1316410079 | Sierra Karls | Counselor | 13045 Falcon Dr, Baxter, MN 56425-4201 | 2019-01-05 |
| 1922540111 | Kassandra Kavanaugh | Counselor | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2016-11-06 |
| 1164975793 | Kathryn Moser | Counselor | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2016-08-01 |
| 1306290218 | Alesha Ketter | Counselor | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2016-04-17 |
| 1952795510 | Lori Ann Lachelt | Counselor | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2015-03-22 |
| 1467855155 | Morgen Joray Juel | Psychologist | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2014-10-08 |
| 1841516622 | Michael Joseph Adelman | Psychiatry & Neurology | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2010-04-19 |
| 1942432075 | Rick Wayne Peters | Counselor | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2009-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| Find all providers in zip 56425 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141956 | Heather Ann Arbaney | Nurse Practitioner | 7115 Forthun Rd, Baxter, MN 56425-8597 | 2020-07-08 |
| 1518518877 | Marei Arden Benton | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-09-26 |
| 1861045262 | Jacqueline Grinnell | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-07-24 |
| 1114570298 | Amanda June Inas Mikhaeil | Nurse Practitioner | 14241 Grand Oaks Dr, Baxter, MN 56425-8749 | 2019-07-18 |
| 1083171920 | Elizabeth Dawn Winkler-rogers | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425 | 2019-02-27 |
| 1134559610 | Stephanie Smith | Nurse Practitioner | 7115 Forthun Road, Suite 105, Baxter, MN 56425 | 2013-11-19 |
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|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| 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.