MELISSA LEE PETERSON (NPI# 1467993865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467993865 |
| Entity Type | Individual |
| Full Name | MELISSA LEE PETERSON |
| Practice Address |
23559 Co. Rd. 20 Winona MN 55987 |
| Mailing Address |
23559 County Road 20 Winona MN 55987-4392 |
| Practice Telephone | 5073120161 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867655 | Melissa Peterson | Social Worker | 400 Hunnewell St Ste 6r, Needham, MA 02494-1360 | 2018-04-05 |
| 1902182835 | Melissa Anne Peterson | Home Health Aide | 3850 Granada Way N, Oakdale, MN 55128-3031 | 2011-10-24 |
| 1811211139 | Melissa Anne Peterson | Social Worker | 9909 Clayton Rd, Suite Ll2a, Saint Louis, MO 63124-1120 | 2010-03-15 |
| 1912170291 | Melissa Peterson | Physical Therapy Assistant | 5022 S 69th St, Greenfield, WI 53220-4406 | 2008-04-08 |
| 1326646159 | Melissa Peterson | Behavior Technician | 3425 Blake St, Denver, CO 80205-2406 | 2020-10-14 |
| 1194382481 | Melissa Janelle Peterson | Social Worker | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2019-05-22 |
| 1093272148 | Melissa R Peterson | Dental Hygienist | Po Box L, Seldovia, AK 99663-0250 | 2019-02-25 |
| 1669961959 | Melissa Peterson | Physician Assistant | 5505 Roswell Rd Ste 100, Atlanta, GA 30342-1983 | 2018-05-02 |
| 1982106738 | Melissa L Peterson | Nurse Practitioner | 945 N 12th St, Milwaukee, WI 53233-1305 | 2018-03-07 |
| 1245731348 | Melissa Ros4e Peterson | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2018-02-23 |
| Street Address |
23559 CO. RD. 20 |
| City | WINONA |
| State | MN |
| Zip Code | 55987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| 1700098613 | Winona Foot Clinic P.a. | Podiatrist | 350 East Sarnia Street, Winona, MN 55987 | 2007-05-04 |
| Find all providers in zip 55987 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063913853 | Ian Shields | Student in an Organized Health Care Education/Training Program | 175 W Mark St, Winona, MN 55987-3384 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921047 | Liesa Clare Erickson | Student in an Organized Health Care Education/Training Program | 100 Elizabeth St Apt 416, Duluth, MN 55803-2643 | 2020-10-29 |
| 1639779804 | Chelsie Meemken | Student in an Organized Health Care Education/Training Program | 505 Bluebird Ct, Sartell, MN 56377-1633 | 2020-10-27 |
| 1134729486 | Anna R Spiczka | Student in an Organized Health Care Education/Training Program | 10689 108th Ave N, Hanover, MN 55341-4124 | 2020-10-27 |
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1467059048 | Ashli Willow Boehm | Student in an Organized Health Care Education/Training Program | 1920 Turning Leaf Ln Sw, Alexandria, MN 56308-4662 | 2020-10-06 |
| 1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1023624483 | Katherine Hailey Lake | Student in an Organized Health Care Education/Training Program | 16415 Temple Dr, Minnetonka, MN 55345-3431 | 2020-09-21 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1740895770 | Arielle Johnson | Student in an Organized Health Care Education/Training Program | 1162 Thomas Ave, Saint Paul, MN 55104-2538 | 2020-09-15 |
| 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.