KIMBERLY PAIGE PETERSON (NPI# 1538678263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538678263 |
| Entity Type | Individual |
| Full Name | KIMBERLY PAIGE PETERSON |
| Credential | SLP |
| Practice Address |
78 Hospital Rd Macon MS 39341-2490 |
| Mailing Address |
711 Avignon Dr Ridgeland MS 39157-5120 |
| Practice Telephone | 6627264231 |
| Mailing Telephone | 6016056777 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S4267 | MS | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003624 | Kimberly Ann Peterson | Registered Nurse | 1108 Independence Ct, Atchison, KS 66002-9554 | 2020-11-07 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1134642572 | Kimberly Peterson | Counselor | 2592 W Santa Clara Dr, Meridian, ID 83642-4363 | 2017-07-18 |
| 1720402100 | Kimberly Peterson | Registered Nurse | 11300 Columbiana Canfield Rd, Suite E, Canfield, OH 44406-8485 | 2014-02-06 |
| 1285898825 | Kimberly Anne Peterson | Speech-Language Pathologist | 205 N 85th St, Wauwatosa, WI 53226-4603 | 2008-07-14 |
| 1467955724 | Kimberly Rose Peterson | Counselor | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2018-03-13 |
| 1013425602 | Kimberly Lauren Peterson | Student in an Organized Health Care Education/Training Program | 210 Avenue C, Danville, IL 61832-5410 | 2018-01-17 |
| 1104336668 | Kimberly A Peterson | Occupational Therapist | 1587 Myrtle Ave, Eureka, CA 95501-1453 | 2017-10-10 |
| 1265952626 | Kimberly Peterson | Registered Nurse | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-06-26 |
| 1407384233 | Kimberly Dianne Peterson | Social Worker | 1007 S Jefferson Way, Indianola, IA 50125-3221 | 2017-05-24 |
| Street Address |
78 HOSPITAL RD |
| City | MACON |
| State | MS |
| Zip Code | 39341-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770594368 | Philip S. Lee | Internal Medicine | 78 Hospital Rd, Macon, MS 39341-2490 | 2006-08-10 |
| 1942813977 | Brittany Fields | Occupational Therapist | 78 Hospital Rd, Macon, MS 39341-2490 | 2020-08-28 |
| 1255992525 | Kaci Jackson | Physical Therapist | 78 Hospital Rd, Macon, MS 39341-2490 | 2019-06-26 |
| 1053819649 | Traveus Ramon Garth | Physical Therapy Assistant | 78 Hospital Rd, Macon, MS 39341-2490 | 2018-01-29 |
| 1356742894 | Dorthy Renee Bester | Nurse Practitioner | 78 Hospital Rd, Macon, MS 39341-2490 | 2014-09-15 |
| 1265866453 | Amber Eaves Rogers | Pharmacist | 78 Hospital Rd, Macon, MS 39341-2490 | 2013-08-24 |
| 1821243924 | Holly C Rigdon | Nurse Practitioner | 78 Hospital Rd, Macon, MS 39341-2490 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
| 1821390949 | Margaret Rice | Counselor | 200 Mlk St W, Macon, MS 39341 | 2010-11-22 |
| 1619109840 | Katisha Gordon | Counselor | 200 Mlk St, Macon, MS 39341 | 2009-08-21 |
| 1912193459 | Crawford Health Clinic, LLC | Clinic/Center | 15865 Highway 14, Macon, MS 39341 | 2007-09-19 |
| 1578680005 | Region Vii Mh Mr Commission | Counselor | 200 Lawerence St, Macon, MS 39341 | 2007-03-22 |
| 1255473906 | Macon Clinical Laboratory, Inc. | Clinical Medical Laboratory | 602 Njefferson Street, Macon, MS 39341 | 2007-02-12 |
| 1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
| 1841216413 | Freds Stores of Tennessee Inc | Pharmacy | 59 Frontage Rd, Macon, MS 39341 | 2006-07-15 |
| 1902844194 | Noxubee General Critical Access Hospital | General Acute Care Hospital | 606 North Jefferson Street, Macon, MS 39341 | 2006-06-02 |
| 1285725838 | Jennifer Yuson Dozier | Nurse Practitioner | 606 North Jefferson Street, Macon, MS 39341 | 2006-09-27 |
| Find all providers in zip 39341 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1396103552 | Tracy Lucas | Speech-Language Pathologist | 127 River Forest Drive, Macon, GA 31211-6323 | 2016-02-03 |
| 1871961763 | Talia Rogers | Speech-Language Pathologist | 5021 Mercer University Dr, D3, Macon, GA 31210-5691 | 2015-09-09 |
| 1295116267 | Mable Anderson | Speech-Language Pathologist | 946 Summit Ave, Macon, GA 31211-1818 | 2015-06-15 |
| 1992112056 | Marilyn Martinez-bosch | Speech-Language Pathologist | 1872 Waverland Dr, Macon, GA 31211-1122 | 2014-07-21 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1326320102 | Deirdre Lynne Maybank | Speech-Language Pathologist | 2720 Sheraton Dr, Suite D-140, Macon, GA 31204-1167 | 2011-09-16 |
| 1720308893 | Carla W Holt | Speech-Language Pathologist | 441 Ashville Dr, Macon, GA 31210-1684 | 2010-06-10 |
| 1053642454 | Carrie Mcelreath | Speech-Language Pathologist | 258 Belvedere Dr, Macon, GA 31204-1859 | 2010-01-25 |
| 1497986327 | Cassandra D Gaskins | Speech-Language Pathologist | 291 Plantation Centre Dr N Apt 2516, Macon, GA 31210-9245 | 2009-07-27 |
| Find all providers in MACON | ||||
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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.