DANA PETERSEN (NPI# 1710087002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710087002 |
| Entity Type | Individual |
| Full Name | DANA PETERSEN |
| Credential | RD, LDN |
| Practice Address |
200 W Golf Rd Libertyville IL 60048-3234 |
| Mailing Address |
523 N Milwaukee Ave Apartment C Libertyville IL 60048-2082 |
| Practice Telephone | 8479905772 |
| Mailing Telephone | 8476360111 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568783470 | Dana Kristopher Petersen | Otolaryngology | 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 | 2010-06-15 |
| 1639275415 | Dana Michelle Petersen | Social Worker | 969 Hwy 99 North, Eugene, OR 97402 | 2006-09-16 |
| 1376051896 | Dana L Petersen | Social Worker | 390 River St, Springfield, VT 05156-2226 | 2018-01-18 |
| 1255426524 | Dana D Petersen | Physician Assistant | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-10-04 |
| 1912974155 | Dana M Petersen | Specialist | 3434 12th Ave Ne, Olympia, WA 98506 | 2006-03-07 |
| Street Address |
200 W GOLF RD |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073629911 | Lisa G. Matthews | Dietitian, Registered | 200 W Golf Rd, Libertyville, IL 60048-3234 | 2006-08-22 |
| 1205066610 | Daniel R Henrichs | Specialist/Technologist | 200 W Golf Rd, Libertyville, IL 60048-3234 | 2009-07-20 |
| 1699978049 | Christina Marie Burkard | Dietitian, Registered | 200 W Golf Rd, Centre Club, Libertyville, IL 60048-3234 | 2007-06-05 |
| 1972647279 | Stamatios Taktikos | Physical Therapist | 200 W Golf Rd, Libertyville, IL 60048-3234 | 2007-02-19 |
| 1689762593 | Debra Ann Smagacz | Physical Therapist | 200 W Golf Rd, Centre Club, Libertyville, IL 60048 | 2006-10-10 |
| 1548357148 | Rosanna Sy Chua | Physical Therapist | 200 W Golf Rd, Libertyville, IL 60048 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255676375 | Rebecca Weitzel | Dietitian, Registered | 118 4th St, Libertyville, IL 60048-2308 | 2012-11-29 |
| 1851539365 | Mary Elizabeth Cran | Dietitian, Registered | 1000 Benson Ln, Libertyville, IL 60048-2408 | 2009-01-22 |
| 1073629911 | Lisa G. Matthews | Dietitian, Registered | 200 W Golf Rd, Libertyville, IL 60048-3234 | 2006-08-22 |
| 1710947825 | Elizabeth Leigh Giamis | Dietitian, Registered | 1231 Harwood Dr, Libertyville, IL 60048-1128 | 2006-03-23 |
| 1114332889 | Amy Strutzel | Dietitian, Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2014-06-21 |
| 1871841098 | Ashley Elizabeth Mcginn | Dietitian, Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2012-08-20 |
| 1871803387 | Amanda M Stucky | Dietitian, Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2010-10-18 |
| 1871750794 | Jennifer Lynn Panicko | Dietitian, Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2008-05-19 |
| 1477710309 | Patricia Sue Traver | Dietitian, Registered | 800 S Milwaukee Ave, Libertyville, IL 60048-3254 | 2008-05-19 |
| 1699978049 | Christina Marie Burkard | Dietitian, Registered | 200 W Golf Rd, Centre Club, Libertyville, IL 60048-3234 | 2007-06-05 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on DANA PETERSEN.
| 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.