PAMELA PETERSON (NPI# 1700330503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700330503 |
| Entity Type | Individual |
| Full Name | PAMELA PETERSON |
| Practice Address |
332 W Superior St Ste 300 Duluth MN 55802 |
| Mailing Address |
1900 Silver Lake Road Nw Suite 110 New Brighton MN 55112 |
| Practice Telephone | 2187224379 |
| Mailing Telephone | 6513791718 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304004 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659996 | Pamela Sue Peterson | Counselor | 110 Reading Ave, Jonesville, MI 49250-1136 | 2017-06-23 |
| 1871834614 | Pamela Peterson | Social Worker | 118 N 5th St, Oneill, NE 68763-1565 | 2013-03-04 |
| 1417204579 | Pamela Nichole Peterson | Behavioral Analyst | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2012-08-08 |
| 1609186709 | Pamela Diane Peterson | Massage Therapist | 1155 Ne Hogan Dr, Gresham, OR 97030-4129 | 2010-10-07 |
| 1871821777 | Pamela Eileen Peterson | Counselor | 287 6th St E, Suite 300, Saint Paul, MN 55101-1654 | 2009-12-03 |
| 1073656682 | Pamela B Peterson | Nurse Practitioner | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2007-02-14 |
| 1972674091 | Pamela Marjorie Peterson | Psychologist | 300 W Broadway, Ste 1, Plainview, MN 55964-1256 | 2006-11-11 |
| 1124121256 | Pamela C Peterson | Social Worker | 48 N Pleasant St, Suite 302, Amherst, MA 01002-1738 | 2006-09-06 |
| 1396851853 | Pamela N Peterson | Internal Medicine | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-08-21 |
| 1972516532 | Pamela Peterson | Registered Nurse | 945 Goethals Dr, Suite 200, Richland, WA 99352-3552 | 2006-08-14 |
| Street Address |
332 W SUPERIOR ST STE 300 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639197700 | Gregory Paul Cleary | Social Worker | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2006-07-17 |
| 1609405240 | Luke Abraham Tervola | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2020-04-06 |
| 1639703242 | Krissa Ann Hultman | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2020-02-24 |
| 1033751003 | Paul Russell Giddings | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2019-10-11 |
| 1649811670 | Taylor Fellbaum | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2019-10-01 |
| 1790339794 | Ashley Demars | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2019-07-29 |
| 1295296564 | Dawn Denise Schulze | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2019-03-28 |
| 1154803534 | Alison Elizabeth Suominen | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2018-09-03 |
| 1043792435 | Nicole Ann Leland | Counselor | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2018-08-31 |
| 1013493345 | Amy Jo Schwab | Nurse Practitioner | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| 1780239442 | Katelyn Huberty | Counselor | 324 W Superior St Bldg Suite620, Duluth, MN 55802-1701 | 2019-08-08 |
| 1831663343 | Jennifer T Rennquist | Counselor | 5223 Glendale St, Duluth, MN 55804-1110 | 2019-01-17 |
| 1376069294 | Dave Moorthy | Counselor | 6290 Abbotts Bridge Rd Ste 502, Duluth, GA 30097-5714 | 2017-08-22 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1184760738 | Diana Benjamin Rodriguez | Counselor | 6340 Sugarloaf Parkway, Suite 200, Duluth, GA 30097 | 2007-01-30 |
| 1194790733 | Human Development Center | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2006-02-17 |
| Find all providers in DULUTH | ||||
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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.