LISA M PETERSON (NPI# 1619156411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619156411 |
Entity Type | Individual |
Full Name | LISA M PETERSON |
Other Name | LISA M. TOFTE |
Credential | PA-C |
Practice Address |
1500 14th St W Ste 300 Williston ND 58801-4079 |
Practice Telephone | 7017747500 |
Practice Fax Number | 7017743918 |
Mailing Telephone | (701) 774-7500 |
Mailing Fax Number | 7017743918 |
Enumeration Date | 2007-10-29 |
Last Update Date | 2017-06-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PAC0377 | ND | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PAC0377 | ND | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265952592 | Lisa Peterson | Physical Therapy Assistant | 893 94th St, Pleasant Prairie, WI 53158-4911 | 2017-06-27 |
1497154033 | Lisa Peterson | Speech-Language Pathologist | 407 N Foster St, Center, MO 63436-1026 | 2014-08-20 |
1528467503 | Lisa Peterson | Marriage & Family Therapist | 3240 W Foster Ave, Suite A, Chicago, IL 60625-4828 | 2014-08-15 |
1518204734 | Lisa Lynn Peterson | Counselor | 405 Goldridge Dr, Georgetown, TX 78633-1989 | 2013-01-08 |
1790056554 | Lisa Peterson | Nurse Practitioner | 12629 Se 54th St, Bellevue, WA 98006-2916 | 2012-01-25 |
1265697676 | Lisa Ann Peterson | Social Worker | 8366 Mary Lee Ln, Laurel, MD 20723-1192 | 2008-07-24 |
1962514869 | Lisa A Peterson | Counselor | 110 Elmwood Ave, Providence, RI 02907-2423 | 2006-08-31 |
1336131986 | Lisa M Peterson | Internal Medicine | 180 W Grange Ave, Milwaukee, WI 53207-6030 | 2005-08-19 |
1154983682 | Lisa Marie Peterson | Counselor | 784 High St, San Luis Obispo, CA 93401-5243 | 2019-07-04 |
1013480631 | Lisa Jane Peterson | Speech-Language Pathologist | 3430 Burnet Ave # 4011, Cincinnati, OH 45229-2833 | 2019-01-07 |
Street Address |
1500 14TH ST W STE 300 |
City | WILLISTON |
State | ND |
Zip Code | 58801-4079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376099424 | April Haugrose | Nurse Practitioner | 1500 14th St W Ste 300, Williston, ND 58801 | 2016-08-29 |
1942476825 | Tessa Marburger | Psychiatry & Neurology | 1500 14th St W Ste 300, Williston, ND 58801-4079 | 2008-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
Find all providers in zip 58801 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538783972 | Austin Fridrich | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-06-02 |
1477053411 | Sara Amys | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2018-02-16 |
1629423371 | Carly Schlosser | Physician Assistant | 300 N 7th St, Bismarck, ND 58501-4439 | 2016-05-02 |
1902262595 | Evelyne S Akoth | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2016-01-12 |
1508274408 | Daniel Deutsch | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2014-07-24 |
1164859831 | Kristen Schaff | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2013-09-26 |
1609213529 | Kathryn B Fuss | Physician Assistant | 801 Broadway N, Fargo, ND 58102-3641 | 2013-06-01 |
1154675577 | Shane M Meyer | Physician Assistant | 1720 University Dr S, Fargo, ND 58103-4940 | 2012-11-07 |
1801104039 | Nicole Frank | Physician Assistant | 310 N 9th St, Bismarck, ND 58501-4515 | 2010-09-22 |
1679891907 | Patrick Roger Walter | Physician Assistant | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-05-11 |
Find all providers with the same taxonomy |
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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.