SAMANTHA PETERSON (NPI# 1497231369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497231369 |
Entity Type | Individual |
Full Name | SAMANTHA PETERSON |
Credential | MS, RD, CSO |
Practice Address |
14200 W Celebrate Life Way Goodyear AZ 85338-3007 |
Mailing Address |
12242 S 185th Ave Goodyear AZ 85338-7959 |
Practice Telephone | 6232569920 |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
12242 S 185th Ave, Goodyear, AZ 853387959 | 6232569920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831790146 | Samantha Maree Peterson | Speech-Language Pathologist | 2850 Columbine Rd, Denver, CO 80221-7600 | 2020-11-03 |
1619584190 | Samantha Peterson | Counselor | 1717 Swede Rd Ste 212, Blue Bell, PA 19422-3372 | 2020-09-28 |
1386129195 | Samantha Michelle Peterson | Nurse Practitioner | 10023 S Us Highway 1, Port St Lucie, FL 34952-5643 | 2018-09-27 |
1659803823 | Samantha Peterson | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-28 |
1033668629 | Samantha Peterson | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-09-24 |
1497125835 | Samantha Lea Peterson | Pharmacist | 401 2nd St, Ida Grove, IA 51445-1302 | 2015-09-28 |
1245649268 | Samantha Peterson | Physical Therapist | 4101 Raeford Rd, Fayetteville, NC 28304-4114 | 2014-08-04 |
1982941621 | Samantha Mary Peterson | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2013-01-15 |
Street Address |
14200 W CELEBRATE LIFE WAY |
City | GOODYEAR |
State | AZ |
Zip Code | 85338-3007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386648632 | Jennifer Lou Spicer | Physician Assistant | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2005-06-01 |
1831714989 | Jeremy Michael Gerber | Pharmacist | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2020-06-15 |
1477107613 | Matthew Ryan Spenla | Anesthesiology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2019-07-25 |
1366920035 | Chelsey May Mccauley | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338 | 2018-08-03 |
1649756396 | Sara Schumacher | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-16 |
1962864397 | Jeffrey Paulus | Anesthesiology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2016-03-24 |
1346617826 | Sarah Kristofik | Genetic Counselor, MS | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2015-08-31 |
1972911022 | Jordan Waypa | Nurse Practitioner | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2014-07-31 |
1780947028 | Vishangi Dave | Internal Medicine | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2012-06-21 |
1902167265 | Shoib Sarwar | Pathology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2012-06-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
Find all providers in zip 85338 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043835028 | Marisa Gutierrez | Dietitian, Registered | 15873 W Jefferson St, Goodyear, AZ 85338-6895 | 2020-06-15 |
1043857857 | Jennifer Manley | Dietitian, Registered | 18351 W Verdin Rd, Goodyear, AZ 85338-5078 | 2019-12-01 |
1083938740 | Shalini Unsworth | Dietitian, Registered | 14939 S 180th Ave, Goodyear, AZ 85338-5658 | 2010-03-23 |
1952578684 | Katina Lashun Langley | Dietitian, Registered | 14097 W Windward Ave, Goodyear, AZ 85395-2050 | 2008-05-12 |
1043821465 | Emily Masek | Dietitian, Registered | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2020-08-10 |
1114545449 | Jacqueline Godinez Lopez | Dietitian, Registered | 140 N Litchfield Rd, Suite 106, Goodyear, AZ 85338-1226 | 2020-07-13 |
1366920035 | Chelsey May Mccauley | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338 | 2018-08-03 |
1649756396 | Sara Schumacher | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-16 |
1659552511 | Karen D Gafford | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338 | 2007-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891395497 | Emily Verebelyi | Dietitian, Registered | 7525 E Placita De La Poesia, Tucson, AZ 85750-7200 | 2020-11-01 |
1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
1346849023 | Emmie Mae Olivas | Dietitian, Registered | 1126 N Melody Cir, Chandler, AZ 85225-1695 | 2020-10-22 |
1699373985 | Ke Luo | Dietitian, Registered | 8771 N Ash Grove Ct, Tucson, AZ 85742-1411 | 2020-10-09 |
1740897859 | Gabrielle Dunlavey | Dietitian, Registered | 7950 E Starlight Way Unit 144, Scottsdale, AZ 85250-6133 | 2020-09-24 |
1558977538 | Michelle Hathaway | Dietitian, Registered | 10752 N 89th Pl Ste 114b, Scottsdale, AZ 85260-6730 | 2020-09-16 |
1770194615 | Lauren Ashley Duda | Dietitian, Registered | 5917 E Kings Ave, Scottsdale, AZ 85254-1318 | 2020-08-13 |
1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
1225648827 | Kelly Michelle Clarken | Dietitian, Registered | 3220 W Ina Rd Apt 4202, Tucson, AZ 85741-2164 | 2020-08-07 |
1528678232 | Jodi Roark Charvoz | Dietitian, Registered | 5202 E 4th St, Tucson, AZ 85711-2302 | 2020-08-06 |
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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.