KATIE LYNNE PETERSON


Address: 3151 N Windsong Dr, Prescott Valley, AZ 86314-2240
Phone: 9287784711

KATIE LYNNE PETERSON (NPI# 1528119906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528119906
Entity Type Individual
Full Name KATIE LYNNE PETERSON
Credential PA-C
Practice Address 3151 N Windsong Dr
Prescott Valley
AZ 86314-2240
Mailing Address 12262 E Bradshaw Mtn Rd
Dewey
AZ 86327-6032
Practice Telephone 9287784711
Mailing Telephone 9287721673
Enumeration Date 2007-01-14
Last Update Date 2017-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
36001348A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA21714 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
6032 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATIE PETERSON

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
1477076073 Katie Peterson Nurse Practitioner 1600 N Missouri Ave, Marceline, MO 64658-1012 2017-07-25
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

Office Location

Street Address 3151 N WINDSONG DR
City PRESCOTT VALLEY
State AZ
Zip Code 86314-2240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063070241 Branyan Decarlo Garcia Nurse Practitioner 3151 N Windsong Dr, Prescott Valley, AZ 86314-2240 2019-06-03
1679922389 Armando Varela Nurse Practitioner 3151 N Windsong Dr, Prescott Valley, AZ 86314-2240 2016-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992326029 Sequelcare of Arizona Community Based Residential Treatment Facility, Mental Illness 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 2020-04-29
1124666516 Best Care Behavioral Homes LLC Community/Behavioral Health 5385 W Saddleback Drive, Prescott Valley, AZ 86314 2019-12-16
1912541558 The Stateserv Companies, LLC Durable Medical Equipment & Medical Supplies 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 2019-11-06
1003398983 Richard Telck Pharmacist 7720 E. Highway 69, Prescott Valley, AZ 86314 2018-09-06
1912493065 Akdhc,llc Internal Medicine 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 2018-07-02
1700377983 Pronghorn Psychiatry Clinic/Center 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 2018-05-23
1689185126 Thumb Butte Urgent Care Clinic/Center 6496 East Highway 69, Prescott Valley, AZ 86314 2017-10-23
1740738046 Janine Kauffmann Pharmacist 7720 East Highway 69, Prescott Valley, AZ 86314 2016-09-14
1528415650 Nazcare, Inc. Exclusive Provider Organization 8200 E. Jacque Dr., Prescott Valley, AZ 86314 2016-05-18
1184087009 William Beverly Marriage & Family Therapist 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 2016-03-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750391462 Kimberly S. Wallach Physician Assistant 6496 E State Route 69, Prescott Valley, AZ 86314-2920 2006-08-08
1487658431 Linda Beth Roberts Physician Assistant 3100 N Glassford Hill Rd, Prescott Valley, AZ 86314-2285 2005-06-08
1215445234 Christine Alesi Routh Physician Assistant 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314-2245 2018-01-11
1477794451 Preston David Miller Physician Assistant 3051 N Windsong Dr, Prescott Valley, AZ 86314-2248 2009-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053928374 Michael James Porter Physician Assistant 20003 N 77th Dr, Glendale, AZ 85308-8339 2020-09-30
1073121505 Alexandra R Koolmees Physician Assistant 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 2020-07-21
1194343897 Alyssa Kay Poland Physician Assistant 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 2020-07-08
1568080620 Manuel Gerardo Pompa Physician Assistant 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 2020-07-06
1932748233 Hayley Klotz Physician Assistant 440 N Navajo Dr, Page, AZ 86040-0950 2020-01-03
1285273987 Jaclyn Marie Schroeder Physician Assistant 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 2019-12-27
1396388062 Morgan Taylor Beckwith Physician Assistant 2128 Senita Dr, Lake Havasu City, AZ 86403-5756 2019-10-24
1023667623 Halie Furrier Physician Assistant 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 2019-09-05
1871155143 Terry Craven Wood Physician Assistant 7645 W Donald Dr, Peoria, AZ 85383-3142 2019-07-08
1720548753 Alexis D Elliott Physician Assistant 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 2019-03-25
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Competitor

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City PRESCOTT VALLEY
Zip Code 86314

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Dataset Information

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.

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