MEGAN PETERSON (NPI# 1649679523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649679523 |
| Entity Type | Individual |
| Full Name | MEGAN PETERSON |
| Credential | DNP, FNP |
| Practice Address |
450 Brookline Ave Boston MA 02215-5450 |
| Practice Telephone | 6176323090 |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2019-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2323308 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95001179 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CNP LICENSE | 2323308 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 California St, Suite 370, San Francisco, CA 941094586 | 4102929750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881030765 | Megan May Peterson | Registered Nurse | 3300 Chambers Rd Ste 5238, Horseheads, NY 14845-1420 | 2013-05-17 |
| 1790385607 | Megan Elyse Peterson | Occupational Therapist | 2004 Hayes St Ste 545, Nashville, TN 37203-2655 | 2020-10-29 |
| 1669080792 | Megan R Peterson | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-07-15 |
| 1801438072 | Megan Alissa Peterson | Physician Assistant | 615 S Dekalb St, Shelby, NC 28150-6184 | 2019-10-09 |
| 1154987436 | Megan Peterson | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2019-05-13 |
| 1740772003 | Megan Leigh Peterson | Speech-Language Pathologist | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2018-06-03 |
| 1346731031 | Megan Rose Peterson | Family Medicine | 840 E University Ave, Des Moines, IA 50316-2304 | 2018-05-29 |
| 1467989293 | Megan A Peterson | Massage Therapist | 1153 E 3900 S, Millcreek, UT 84124-1201 | 2017-05-11 |
| 1598211195 | Megan Anne Peterson | Speech-Language Pathologist | 600 Highland Ave, Mail Stop 2424, Madison, WI 53792-2424 | 2016-09-01 |
| 1487096533 | Megan Paige Peterson | Speech-Language Pathologist | 222 W Thomas Rd Ste 401, Phoenix, AZ 85013-4423 | 2013-07-17 |
| Street Address |
450 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172149 | Osama E. Rahma | Internal Medicine | 450 Brookline Ave, Dana-farber Cancer Institute, Boston, MA 02215-5418 | 2005-08-31 |
| 1508472465 | Joanna Mercado | Genetic Counselor, MS | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-09-16 |
| 1588277917 | Gertrude Andre | Registered Nurse | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-08-25 |
| 1396355814 | Chaiyapruk Phantumvanit | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5450 | 2020-08-10 |
| 1689284465 | Jennifer Anne Falb | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-08-05 |
| 1245840628 | Kathrine Fleming | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-07-31 |
| 1205454642 | Arianna Gabriella Maida | Physician Assistant | 450 Brookline Ave, Boston, MA 02215-5450 | 2020-07-13 |
| 1326663964 | Tsz-yi Wendy Chen | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-06-09 |
| 1891315354 | Sarah Studley | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-04-24 |
| 1447889902 | Jessie Margaret Brain | Student in an Organized Health Care Education/Training Program | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968461 | Naira Aleksanyan | Nurse Practitioner | 5 Ellis St, Boston, MA 02119-3728 | 2020-10-04 |
| 1154930048 | Patricia M Ciarleglio | Nurse Practitioner | 51 Franklin St Ste 400, Boston, MA 02110-1335 | 2020-07-27 |
| 1689292161 | Barbara Regina Massa | Nurse Practitioner | 738 E 5th St, Boston, MA 02127-3260 | 2020-07-10 |
| 1114541976 | Ellie Gonyeau | Nurse Practitioner | 17 S Russell St, Boston, MA 02114-3990 | 2020-06-07 |
| 1295357390 | Margaret Sherwood | Nurse Practitioner | 155 W Concord St # 1, Boston, MA 02118-1507 | 2020-05-12 |
| 1760017008 | Venifa White | Nurse Practitioner | 40 Kingsdale St Apt 4, Boston, MA 02124-1700 | 2020-03-06 |
| 1063059467 | Shevonne Renee Linnane | Nurse Practitioner | 619 Adams St Apt 1, Boston, MA 02122-2569 | 2019-12-04 |
| 1730737602 | Melanie Matthews | Nurse Practitioner | 14 Worthington St, Boston, MA 02120-1605 | 2019-09-03 |
| 1114585940 | Jessica Paige Oliver | Nurse Practitioner | 2557 State Line Rd, Boston, GA 31626-2441 | 2019-06-05 |
| 1760944748 | Melissa Stanvick | Nurse Practitioner | 117 Park Dr Apt 5, Boston, MA 02215-5114 | 2019-04-01 |
| Find all providers in BOSTON | ||||
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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.