RACHEL L PETERSEN (NPI# 1528353323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528353323 |
| Entity Type | Individual |
| Full Name | RACHEL L PETERSEN |
| Other Name | RACHEL L HAGERT |
| Credential | M.D. |
| Practice Address |
1850 Spring Ridge Dr Susanville CA 96130-6100 |
| Practice Telephone | 5302515000 |
| Mailing Telephone | 5302515000 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A125735 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871796029 | Rachel Marie Petersen | Counselor | 700 W Braddock Rd, Alexandria, VA 22302-3601 | 2007-06-06 |
| 1780679183 | Rachel Rockman Petersen | Obstetrics & Gynecology | One Hospital Drive Sw, Suite 201, Huntsville, AL 35801-3495 | 2005-09-13 |
| 1568869667 | Rachel Petersen | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2014-12-04 |
| 1982043352 | Rachel Petersen | Speech-Language Pathologist | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2013-06-19 |
| 1578868113 | Rachel Marie Petersen | Rehabilitation Practitioner | 4285 N Rancho Dr, Suite #130, Las Vegas, NV 89130-3446 | 2011-01-12 |
| Street Address |
1850 SPRING RIDGE DR |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156866 | Samuel Richard Carlton | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2005-06-30 |
| 1043844947 | Kellie L Arnold | Registered Nurse | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2020-02-28 |
| 1275170086 | Emily Anne Lewis | Physician Assistant | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2019-11-30 |
| 1740767367 | Ann Marcine Leve | Dental Hygienist | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2018-07-26 |
| 1760969398 | Megan Lee Luna | Dental Hygienist | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2018-07-26 |
| 1760989859 | Erica Leigh Costello | Physician Assistant | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2018-04-06 |
| 1508240938 | Melissa Ann Clark | Nurse Practitioner | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2015-07-15 |
| 1366837163 | Kimberly Louise Clinite | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2015-03-30 |
| 1538573365 | Lindsey Steglich | Physician Assistant | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2014-06-19 |
| 1225464548 | Northern Nevada Cardiology PC | Internal Medicine | 1850 Spring Ridge Dr, Suite B, Susanville, CA 96130-6100 | 2013-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164627410 | Glenn W James | Family Medicine | 475-750 Rice Canyon Road High Desert State Prison, Susanville, CA 96127-0750 | 2007-06-18 |
| 1902948219 | Siuming Stephen Wong | Family Medicine | 711-045 Center Rd., Susanville, CA 96130-0790 | 2007-02-13 |
| 1326159633 | Kenneth G Korver | Family Medicine | 575 Hospital Ln, Susanville, CA 96130-4808 | 2006-08-31 |
| 1437156866 | Samuel Richard Carlton | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2005-06-30 |
| 1629421797 | Riaz Medical Group Inc | Family Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2016-07-13 |
| 1447612627 | Nicolas Milligan | Family Medicine | 795 Joaquin St, Susanville, CA 96130-3628 | 2016-03-25 |
| 1366837163 | Kimberly Louise Clinite | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2015-03-30 |
| 1487093076 | Timothy S Eckford | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2013-06-18 |
| 1467702688 | Jay M Beams Md Inc | Family Medicine | 701 Nevada St, Susanville, CA 96130-3912 | 2012-09-14 |
| 1184917270 | Jeffrey William Rohlfing | Family Medicine | 475-750 Rice Canyon Rd., Susanville, CA 96127 | 2011-05-23 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
Please comment or provide details below to improve the information on RACHEL L PETERSEN.
| 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.