LISA M PETERSON


Address: 1500 14th St W Ste 300, Williston, ND 58801-4079
Phone: 7017747500

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).

Provider Overview

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

Taxonomy

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

Other Providers LISA PETERSON

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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

Office Location

Street Address 1500 14TH ST W STE 300
City WILLISTON
State ND
Zip Code 58801-4079

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City WILLISTON
Zip Code 58801

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Dataset Information

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.

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