ELLEN DAVIS PETERSON (NPI# 1649468406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649468406 |
| Entity Type | Individual |
| Full Name | ELLEN DAVIS PETERSON |
| Other Name | ELLEN C. WALTER |
| Credential | CNS |
| Practice Address |
6500 North Mopac Expressway Building 3, Suite 200 Austin TX 78731 |
| Practice Telephone | 5124588400 |
| Practice Fax Number | 5124588593 |
| Mailing Telephone | 5124588400 |
| Mailing Fax Number | 5124588593 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 2007004651 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487833448 | Ellen W Peterson | Nurse Practitioner | 170 Apricot St, Worcester, MA 01603-1225 | 2007-10-26 |
| 1760972350 | Ellen Peterson | Social Worker | 402 N Cayuga St, Ithaca, NY 14850-4291 | 2018-05-18 |
| 1437289824 | Ellen Peterson | Pharmacist | 2809 100th St, Urbandale, IA 50322-3860 | 2007-03-06 |
| 1295883742 | Ellen Tanner Peterson | Nurse Practitioner | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2007-01-08 |
| Street Address |
6500 NORTH MOPAC EXPRESSWAY BUILDING 3, SUITE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255447926 | Subir Chhikara | Specialist | 6500 North Mopac Expressway, Bldg. 2 Suite 2102, Austin, TX 78731-4305 | 2006-08-22 |
| 1528417995 | Afsc, LLC | Clinic/Center | 6500 North Mopac Expressway, #3104, Austin, TX 78731-3282 | 2016-06-07 |
| 1568548550 | Austin Urological Associates P.a. | Specialist | 6500 North Mopac Expressway, Bldg 2 Ste 2102, Austin, TX 78731-4305 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1831680040 | Carmen Floy Lagrone | Clinical Nurse Specialist | 6901 Mckinney Falls Pkwy, Austin, TX 78744-8401 | 2018-05-23 |
| 1932637378 | Virginia Ducote Remeny | Clinical Nurse Specialist | 4316 Companeros Way, Austin, TX 78749-3650 | 2017-05-30 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1003429986 | Ryan Webb | Clinical Nurse Specialist | 12731 Research Blvd Ste B200, Austin, TX 78759-4387 | 2020-08-28 |
| 1083267702 | Gregory Adrian Greenberg | Clinical Nurse Specialist | 1301 W 38th St Ste 403, Austin, TX 78705-1013 | 2019-07-22 |
| 1093372955 | Gremar Corpuz | Clinical Nurse Specialist | 1500 Red River St, Austin, TX 78701-1918 | 2019-05-24 |
| 1699277756 | Evelina Joanna Kaminski | Clinical Nurse Specialist | 1020 W 34th St, Austin, TX 78705-2009 | 2018-03-05 |
| 1588164263 | Adrienne Alexandra Brenner | Clinical Nurse Specialist | 1500 Red River St, Austin, TX 78701-1918 | 2018-02-19 |
| 1225553688 | Joseph Christopher Lord | Clinical Nurse Specialist | 3215 Steck Ave Ste 200, Austin, TX 78757-8060 | 2017-08-07 |
| Find all providers in AUSTIN | ||||
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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.