KATIE PETERSON (NPI# 1477076073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477076073 |
| Entity Type | Individual |
| Full Name | KATIE PETERSON |
| Credential | DNP |
| Practice Address |
1600 N Missouri Ave Marceline MO 64658-1012 |
| Practice Telephone | 6603762038 |
| Practice Fax Number | 6603763011 |
| Mailing Telephone | 6603762038 |
| Mailing Fax Number | 6603763011 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2019-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017021979 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780121152 | Katie Marie Peterson | Dietitian, Registered | 1161 Chestnut Cove Rd, Sylva, NC 28779-7246 | 2017-01-24 |
| 1821399338 | Katie J Peterson | Physical Therapist | 1443 Ashbury Ln W, Roselle, IL 60172-4703 | 2010-11-15 |
| 1477886323 | Katie Peterson | Physician Assistant | 17521 93rd Pl N, Maple Grove, MN 55311-4437 | 2009-09-10 |
| 1528119906 | Katie Lynne Peterson | Specialist/Technologist | 3151 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2007-01-14 |
| 1235589672 | Katie Peterson | Physical Therapist | 1703 W Stones Crossing Rd Ste 120, Greenwood, IN 46143 | 2016-06-16 |
| 1881065647 | Katie Van Hoof Peterson | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-19 |
| 1508265331 | Katie Marie Peterson | Nurse Practitioner | 3931 Louisiana Ave S, Suite E202, Saint Louis Park, MN 55426-5000 | 2014-08-18 |
| 1295176063 | Katie E Peterson | Advanced Practice Midwife | 5 Tampa General Circle, Suite 240, Tampa, FL 33606 | 2013-07-09 |
| 1033471263 | Katie Dawn Peterson | Dentist | 920 N Main St, Mountain Grove, MO 65711-1315 | 2012-06-13 |
| 1154680569 | Katie Beth Peterson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2012-05-07 |
| Street Address |
1600 N MISSOURI AVE |
| City | MARCELINE |
| State | MO |
| Zip Code | 64658-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511523 | Lorene L Stephan | Nurse Practitioner | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2005-07-08 |
| 1598363491 | Amanda Molloy | Dental Hygienist | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2020-10-13 |
| 1841603602 | Jared Zimmerman | Dentist | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2014-06-09 |
| 1972920213 | Compass Health, Inc. | Clinic/Center | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2014-03-25 |
| 1124349832 | Jennifer Robyn Rosseau | Dentist | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2010-06-16 |
| 1508813833 | Betty Anne Noll | Family Medicine | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2006-05-30 |
| 1407855158 | Compass Health, Inc. | Clinic/Center | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429841 | Pioneer Nursing, LLC | Skilled Nursing Facility | 1500 S Kansas Ave, Marceline, MO 64658 | 2005-07-07 |
| 1659616225 | Sweet Springs Pharmacy Inc | Pharmacy | 1509 N Missouri Ave, Marceline, MO 64658 | 2012-12-07 |
| 1063764785 | Kristi Michelle Taylor | Occupational Therapy Assistant | 1500 S Kansas Ave, Marceline, MO 64658 | 2012-10-04 |
| 1003014226 | Cindy Kay Kolkmeyer | Pharmacist | 1509 N Missouri Ave, Marceline, MO 64658-1009 | 2007-07-10 |
| 1568463362 | David W. Armin | Family Medicine | 225 W Hayden St, Suite 200, Marceline, MO 64658-1049 | 2005-08-03 |
| 1609058114 | Northeast Family Chiropractic | Chiropractor | 225 W Hayden St, Suite 201, Marceline, MO 64658-1049 | 2007-11-27 |
| 1407914328 | Amy Michelle Jackson | Social Worker | 225 W Hayden St, Suite 210, Marceline, MO 64658-1049 | 2006-12-04 |
| 1770651275 | Rachel Elise Schmitt | Social Worker | 225 W Hayden St, Suite 210, Marceline, MO 64658-1049 | 2006-12-01 |
| 1326603846 | Cody Thomas Bell | Chiropractor | 213 N Main Street Usa, Marceline, MO 64658-1127 | 2019-05-09 |
| 1558928101 | Bell Chiropractic LLC | Chiropractor | 213 N Main Street Usa, Marceline, MO 64658-1127 | 2019-05-20 |
| Find all providers in zip 64658 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511523 | Lorene L Stephan | Nurse Practitioner | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 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.