KRISTEN D PETERSON (NPI# 1700065547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700065547 |
| Entity Type | Individual |
| Full Name | KRISTEN D PETERSON |
| Practice Address |
1800 Penn St Suite 12 Melbourne FL 32901-2625 |
| Practice Telephone | 3217686800 |
| Practice Fax Number | 3217686858 |
| Mailing Telephone | 3217686800 |
| Mailing Fax Number | 3217686858 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SZ4385 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104353556 | Kristen Marie Peterson | Technician | 564 Burnside Dr, Tipp City, OH 45371-3711 | 2017-05-16 |
| 1053861716 | Kristen Peterson | Student in an Organized Health Care Education/Training Program | 121 Apple Tree Ct, Frankfort, KY 40601-9016 | 2016-10-06 |
| 1619379419 | Kristen M Peterson | Registered Nurse | 5268 S Espana Cir, Centennial, CO 80015-3704 | 2014-09-23 |
| 1932510369 | Kristen Marie Peterson | Ophthalmology | 1720 University Blvd Ste 601, Birmingham, AL 35233-1816 | 2014-05-20 |
| 1942838529 | Kristen Peterson | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-03-30 |
| 1922577469 | Kristen Kathleen Peterson | Optometrist | 591 Lincoln St, Worcester, MA 01605-1932 | 2018-11-14 |
| 1831675651 | Kristen Peterson | Nurse Practitioner | 325 W Walnut St Ste 600, Lebanon, KY 40033-1378 | 2018-07-15 |
| 1275029381 | Kristen Terese Peterson | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2018-07-02 |
| 1134594583 | Kristen Noel Peterson | Marriage & Family Therapist | 5915 S Rainbow Blvd Ste 105, Las Vegas, NV 89118 | 2015-12-10 |
| 1063840858 | Kristen Peterson | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2013-10-15 |
| Street Address |
1800 PENN ST SUITE 12 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134345358 | Wendy Potter | Counselor | 1800 Penn St, Suite 12, Melbourne, FL 32901-2625 | 2007-04-17 |
| 1386103091 | Taylor Cox | Occupational Therapist | 1800 Penn St, Melbourne, FL 32901-2643 | 2019-03-13 |
| 1619344801 | Eliel Barrial | Occupational Therapist | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2015-08-24 |
| 1366850562 | Angela Gorczynski | Speech-Language Pathologist | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2014-07-31 |
| 1316381577 | Melissa Michelle Conti | Occupational Therapist | 1800 Penn St, Suite 12, Melbourne, FL 32901 | 2013-04-18 |
| 1114361375 | Brianna K Owen | Occupational Therapy Assistant | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2013-04-18 |
| 1548528664 | Emily Sopczynski | Occupational Therapist | 1800 Penn St, Suite #12, Melbourne, FL 32901-2643 | 2012-04-26 |
| 1114297686 | Jeffrey A Mckinsey | Occupational Therapy Assistant | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2011-12-30 |
| 1902180938 | Danielle M Tapley | Occupational Therapy Assistant | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2011-10-10 |
| 1154605186 | Jessica A Divine | Occupational Therapy Assistant | 1800 Penn St, Ste 12, Melbourne, FL 32901-2643 | 2011-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960005 | Amanda Lacroix | Speech-Language Pathologist | 1333 Gateway Dr, Melbourne, FL 32901-2646 | 2020-10-25 |
| 1689298655 | Leslie Stein | Speech-Language Pathologist | 2584 Senator Way, Melbourne, FL 32901-6810 | 2020-06-04 |
| 1396365342 | Kathleen Chodur | Speech-Language Pathologist | 8705 N Wickham Rd, Melbourne, FL 32940-5997 | 2020-04-20 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1003314139 | Libby Jasmine King | Speech-Language Pathologist | 6550 N Wickham Rd Ste 8, Melbourne, FL 32940-2038 | 2018-01-23 |
| 1265947329 | Jennifer Favino-sher | Speech-Language Pathologist | 6446 Arroyo Dr, Melbourne, FL 32940-8508 | 2017-12-11 |
| 1699210880 | Angela Knopf | Speech-Language Pathologist | 721 Casa Grande Dr, Melbourne, FL 32940-7004 | 2016-12-27 |
| 1235672833 | Megan Gonnelly | Speech-Language Pathologist | 484 N Wickham Rd Apt 144, Melbourne, FL 32935-8642 | 2016-11-30 |
| 1376090340 | Katherine Thew | Speech-Language Pathologist | 656 Carriage Hill Road, Melbourne, FL 32940 | 2016-09-07 |
| 1639623341 | Vianny Gordon | Speech-Language Pathologist | 780 S Apollo Blvd Ste 104, Melbourne, FL 32901-1402 | 2016-08-10 |
| Find all providers in MELBOURNE | ||||
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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.