AMANDA PETERSON (NPI# 1730119314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730119314 |
| Entity Type | Individual |
| Full Name | AMANDA PETERSON |
| Practice Address |
7459 Burlington Pike Florence KY 41042-1553 |
| Mailing Address |
502 Farrell Dr Cov KY 41011-3717 |
| Practice Telephone | 8592826585 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE GROUP NUMBER | 184607 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629559992 | Amanda Ann Peterson | Dietitian, Registered | 6405 France Ave S Ste 480, Edina, MN 55435-2172 | 2018-08-24 |
| 1891230710 | Amanda Kay Peterson | Chiropractor | 421 Front St S, Barnesville, MN 56514-3656 | 2017-01-01 |
| 1528420486 | Amanda Peterson | Counselor | 9580 W Reno Ave, Unit 111, Las Vegas, NV 89148-1710 | 2016-03-22 |
| 1427467828 | Amanda Jean Peterson | Physical Therapist | 1045 Broadway Park Ste 107, Homewood, AL 35209-6256 | 2014-08-11 |
| 1528328275 | Amanda Peterson | Dietitian, Registered | 25 Courtenay Drive, Suite 7100a Msc 290, Medical University of South Carolina, Charleston, SC 29425 | 2012-05-29 |
| 1922605641 | Amanda Peterson | Physical Therapist | 140 S Main St, Saint Albans, VT 05478-1895 | 2020-10-06 |
| 1245851575 | Amanda Lynn Peterson | Pharmacist | 2001 Court Ave, Chariton, IA 50049-1955 | 2020-04-28 |
| 1396371100 | Amanda Mae Peterson | Advanced Practice Midwife | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-03-13 |
| 1982235354 | Amanda Peterson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-04 |
| 1659939320 | Amanda Lee Peterson | Behavior Technician | 245 1st St, Cambridge, MA 02142-1200 | 2019-05-29 |
| Street Address |
7459 BURLINGTON PIKE |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033174222 | Brian Deloyd Jones | Psychiatry & Neurology | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-04-19 |
| 1013527837 | Dixie Lee Zimmerman | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-08-06 |
| 1629686043 | Althea Granger | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-07-22 |
| 1659920692 | Mandee Mckelvey | Art Therapist | 7459 Burlington Pike, Florence, KY 41042-1553 | 2019-09-11 |
| 1952956070 | Genoa Healthcare, LLC | Pharmacy | 7459 Burlington Pike, Building 2, Room 114, Florence, KY 41042-1553 | 2019-08-06 |
| 1194296269 | Leah Anne King | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-12-16 |
| 1629557087 | Sarah Vanover | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-08-07 |
| 1154809572 | Kylie Meyer | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-07-30 |
| 1427540897 | Samantha Fox | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-06-01 |
| 1851898084 | Taylor Dantes | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508142860 | Joyce May Tyndall | Technician, Other | 4019 W Palmetto St, Florence, SC 29501-8106 | 2011-10-31 |
| 1124113378 | Diane Minnix | Technician, Other | 7456 Burlington Pike, Florence, KY 41042 | 2006-10-04 |
| 1578595195 | Jessica Yates | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-07-06 |
| 1902838691 | Kimberly Webb | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-07-06 |
| 1568494268 | Deborah Willoughby | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-07-06 |
| 1972535656 | Deborah Ward | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-07-06 |
| 1760411904 | Jerry Weigand | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-07-01 |
| 1033148283 | Margarette Wilhoite | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-07-01 |
| 1376572578 | Nichole Varela | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-07-01 |
| 1184652612 | Michelle Myers | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-06-30 |
| Find all providers in FLORENCE | ||||
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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.