ALYSSA J PETERSON (NPI# 1528307212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528307212 |
| Entity Type | Individual |
| Full Name | ALYSSA J PETERSON |
| Other Name | ALISSA J PETERSON |
| Credential | ED.S. |
| Practice Address |
748 Briar View Dr Orange Park FL 32065-3557 |
| Practice Telephone | 3108639198 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962624239 | Alyssa Marie Peterson | Acupuncturist | 2151 Hamline Ave #108, Roseville, MN 55113-4236 | 2007-05-03 |
| 1952806721 | Alyssa Peterson | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Psychiatry, Albany, NY 12208 | 2018-03-26 |
| 1760917629 | Alyssa Ruth Peterson | Pharmacist | 8434 S Kipling Pkwy, Littleton, CO 80127-6316 | 2017-04-27 |
| 1487194999 | Alyssa Peterson | Physical Therapist | 638 Brandywine Pkwy, West Chester, PA 19380-4278 | 2017-03-02 |
| Street Address |
748 BRIAR VIEW DR |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065-3557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| Find all providers in zip 32065 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339994 | Jenny Gamble | Psychologist | 33 Knight Boxx Rd # 2, Orange Park, FL 32065-7305 | 2020-08-31 |
| 1902929698 | Polly Wietzke Peterson | Psychologist | 1555 Kingsley Ave, Orange Park, FL 32073-9201 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980884 | Gihanna Barbara Jimenez | Psychologist | 7301 Sw 57th Ct Ste 565, South Miami, FL 33143-5334 | 2020-10-20 |
| 1326645177 | Sheila Simchon | Psychologist | 3601 N Park Rd, Hollywood, FL 33021-2529 | 2020-10-05 |
| 1821602145 | Tamara Shirley | Psychologist | 20755 Sw 86th Pl, Cutler Bay, FL 33189-3841 | 2020-09-03 |
| 1154934826 | Joseph Ronald Sura | Psychologist | 154 Cunningham Ln, Big Pine Key, FL 33043-4837 | 2020-08-24 |
| 1871105858 | Bette Dale Garner | Psychologist | 690 Osceola Ave Apt 404, Winter Park, FL 32789-4408 | 2020-08-20 |
| 1528679156 | Brittany Ubaldini-simon | Psychologist | 8505 Bella Way, Tampa, FL 33635-6005 | 2020-08-17 |
| 1710598263 | Ramon Delgado Jr. | Psychologist | 10376 Nw 3rd St, Plantation, FL 33324-1702 | 2020-08-10 |
| 1588274047 | Kristen Rave | Psychologist | 3223 E Community Dr, Jupiter, FL 33458-8217 | 2020-08-08 |
| 1194334623 | Andrea Latimer | Psychologist | 30953 Water Lily Dr, Brooksville, FL 34602-7740 | 2020-07-30 |
| 1356966782 | Stacy Zebrick | Psychologist | 10144 Arbor Run Dr Unit 128, Tampa, FL 33647-3570 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
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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.