JUDITH ANN PETERS (NPI# 1598244576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598244576 |
| Entity Type | Individual |
| Full Name | JUDITH ANN PETERS |
| Credential | PH.D. |
| Practice Address |
15420 Smoland Ln Ne Bainbridge Island WA 98110-1040 |
| Practice Telephone | 2068189573 |
| Mailing Telephone | 2068189573 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 60150527 | WA | Behavioral Health & Social Service Providers |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
601-505-27 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205061488 | Judith Marie Peters | Psychologist | 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301-5478 | 2009-05-18 |
| 1043280464 | Judith L Peters | Specialist | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2006-01-26 |
| Street Address |
15420 SMOLAND LN NE |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip Code | 98110-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667021 | William Reddy | Counselor | 8380 Ne Beck Road, Bainbridge Island, WA 98110 | 2020-07-29 |
| 1144875352 | Kaitlyn Barr | Physical Therapist | Kitsap Physical Therapy, 945 Hildebrand Ln Ste 220, Bainbridge Island, WA 98110 | 2019-08-05 |
| 1326601055 | Chloe Samantha Simon | Specialist/Technologist | 9650 Green Spot Pl., Req, Bainbridge Island, WA 98110 | 2019-04-18 |
| 1043721228 | Laura West Baker | Counselor | 11073 Madison Ave. N.e., Bainbridge Island, WA 98110 | 2017-10-16 |
| 1609305978 | Autism Coaching, Consulting, and Training, LLC | Early Intervention Provider Agency | 676 Lovell Ave Nw, Bainbridge Island, WA 98110 | 2017-06-08 |
| 1639423692 | Alice Hunting | Massage Therapist | 11700 Ne Meadowmeer Circle, Bainbridge Island, WA 98110 | 2012-10-30 |
| 1578813929 | Kitsap County Fire District No 2 | Ambulance | 8895 Madison Ave Ne, Bainbridge Island, WA 98110 | 2012-09-13 |
| 1841582707 | David Warren Sugarman | Psychologist | 4080 Crystal Springs Dr Ne, Bainbridge Island, WA 98110 | 2011-05-11 |
| 1346570371 | Trina Ann Peterson | Registered Nurse | 2213 N.e. Victorian Lane, C, Bainbridge Island, WA 98110 | 2010-01-14 |
| 1902135437 | Sally Karen Vest | Occupational Therapy Assistant | 10861 Manitou Park Blvd. Ne, Bainbridge Island, WA 98110 | 2009-12-11 |
| Find all providers in zip 98110 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942643440 | Somayyeh Sadat Sabet | Psychiatry & Neurology | 1536 N 115th St Ste 330, Seattle, WA 98133-8425 | 2013-04-15 |
| 1972876829 | Donald Francis Farrell | Psychiatry & Neurology | 5207 115th St Se, Everett, WA 98208-9199 | 2012-02-22 |
| 1477520682 | William D Cagle | Psychiatry & Neurology | 92 Fishermen Pl, Manson, WA 98831 | 2006-03-07 |
| 1902878580 | John Peter Ney | Psychiatry & Neurology | 9040a Fitzsimmons Dr., Tacoma, WA 98413 | 2006-02-07 |
| 1104104322 | Elisabeth Simard-tremblay | Psychiatry & Neurology | 1959 Ne Pacific St, Box 356465, Seattle, WA 98195-6465 | 2011-07-22 |
| 1588988521 | C William Britt Jr Md Pllc | Psychiatry & Neurology | 42 E Rowan Ave, Suite B, Spokane, WA 99207-1212 | 2010-03-19 |
| 1073650669 | Robert Emery Potts | Psychiatry & Neurology | Madigan Army Medical Ctr, 9040a Fitzsimmons Drive, Tacoma, WA 98431-1100 | 2007-01-31 |
| 1225128119 | John D Kuratani | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-13 |
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
Please comment or provide details below to improve the information on JUDITH ANN PETERS.
| 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.