MRS. KRISTY PETERFESO (NPI# 1598140881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598140881 |
| Entity Type | Individual |
| Full Name | MRS. KRISTY PETERFESO |
| Credential | APRN, CNP |
| Practice Address |
1107 Hart Blvd Monticello MN 55362-8538 |
| Practice Telephone | 7632712200 |
| Mailing Telephone | 9524510439 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP4041 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1107 HART BLVD |
| City | MONTICELLO |
| State | MN |
| Zip Code | 55362-8538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538128731 | Jennifer Lynn Fisher | Occupational Therapist | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2006-03-17 |
| 1013437110 | Evan Lucas Dyce | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2017-06-21 |
| 1558897322 | Neil De Cleene | Physical Therapist | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2017-05-11 |
| 1568845238 | Kelsey J King | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2015-06-30 |
| 1629484449 | Thomas Lyscio | Physical Therapist | 1107 Hart Blvd, Suite 10, Monticello, MN 55362-8538 | 2014-07-02 |
| 1396159976 | Shelly A..j. Neiman | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2014-06-11 |
| 1467877688 | Ali Margaret Wells | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2014-02-25 |
| 1558600874 | Centracare Health System-nr LLC | Clinic/Center | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2013-02-06 |
| 1487931622 | Kristin Suzanne Soderholm | Occupational Therapist | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2011-11-15 |
| 1629240809 | Karmyn Larson | Occupational Therapist | 1107 Hart Blvd, Suite 10, Monticello, MN 55362-8538 | 2008-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
| 1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
| 1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| Find all providers in zip 55362 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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|---|---|---|---|---|
| 1457968406 | Sojnia Irene Johnson | Nurse Practitioner | 561 Country Oaks Ln, Monticello, KY 42633-5145 | 2020-09-24 |
| 1023622081 | Marty Kyle Ballard Sr. | Nurse Practitioner | 698 Lower Brookhaven Rd, Monticello, MS 39654-9627 | 2020-09-06 |
| 1659918936 | Shelby Mcmickle | Nurse Practitioner | 170 Brixie Rd, Monticello, AR 71655-9096 | 2019-12-05 |
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1740757145 | Karla Marie Wallace | Nurse Practitioner | 314 Main St Ste B, Monticello, MS 39654-3702 | 2018-10-24 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1295196137 | Miranda Tompkins | Nurse Practitioner | 1215 N Main St Ste 2, Monticello, KY 42633-2900 | 2016-03-18 |
| 1285065292 | Teresa Conerly | Nurse Practitioner | 430 W Broad St, Monticello, MS 39654-7723 | 2013-12-02 |
| 1487089546 | Doretha Bournes | Nurse Practitioner | 354 Cub Brown Rd, Monticello, MS 39654-7505 | 2013-09-09 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 55362 |
Please comment or provide details below to improve the information on MRS. KRISTY PETERFESO.
| 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.