MRS. AMY A PETERSON (NPI# 1760757744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760757744 |
| Entity Type | Individual |
| Full Name | MRS. AMY A PETERSON |
| Credential | MS |
| Practice Address |
4501 Coleman St Ste 103 Bismarck ND 58503-0996 |
| Mailing Address |
4530 Northern Sky Dr Bismarck ND 58503-8534 |
| Practice Telephone | 7017516336 |
| Practice Fax Number | 7017516337 |
| Mailing Telephone | 7017516336 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1076 | ND | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 55542 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110779 | Amy Peterson | Counselor | 6233 Durand Ave Ste F, Mount Pleasant, WI 53406-4961 | 2019-12-08 |
| 1245765312 | Amy Peterson | Marriage & Family Therapist | 17128 Se 35th St, Bellevue, WA 98008-5820 | 2017-04-26 |
| 1841742137 | Amy Marie Peterson | Health Educator | 31 Fair St, Cold Spring, NY 10516-3005 | 2016-11-02 |
| 1295289023 | Amy Renee Peterson | Specialist | 121 Casey St, Campbellsville, KY 42718-6858 | 2016-08-10 |
| 1699017764 | Amy S Peterson | Lactation Consultant, Non-RN | 805 4th Ave Dr, Jerome, ID 83338-2104 | 2013-03-26 |
| 1598011843 | Amy Kathleen Peterson | Speech-Language Pathologist | 3515 Central Ave, Cheyenne, WY 82001-1320 | 2012-07-24 |
| 1073834446 | Amy Peterson | Doula | 5 Pendexter Rd, Durham, NH 03824-2108 | 2010-06-19 |
| 1316180441 | Amy Adelle Peterson | Licensed Practical Nurse | 4762 Ventura Dr, Toledo, OH 43615-6134 | 2009-04-20 |
| 1770600702 | Amy Lynn Peterson | Occupational Therapist | 611 St Joseph Ave, St Joseph's Hospital, Marshfield, WI 54449-8341 | 2007-03-23 |
| 1285658971 | Amy Sue Peterson | Physical Therapist | 18430 Harvest Meadows Dr W, Westfield, IN 46074-9122 | 2006-07-26 |
| Street Address |
4501 COLEMAN ST STE 103 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-0996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033676010 | Mariah Hathaway | Occupational Therapist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2019-02-26 |
| 1912498957 | Mollie Koble | Occupational Therapist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2018-05-25 |
| 1518466317 | Julie Juletta Price | Occupational Therapist | 4501 Coleman St Ste 103, Bismarck, ND 58503 | 2018-02-07 |
| 1003314261 | Alexandra Makae Winters | Occupational Therapist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2018-01-23 |
| 1649795147 | Erika Lynne Jacobs | Physical Therapist | 4501 Coleman St Ste 103, Bismarck, ND 58503 | 2017-08-07 |
| 1942737820 | Lisa Van Heukelom | Occupational Therapist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2017-05-22 |
| 1396104022 | Katie Thorson | Occupational Therapist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2016-02-23 |
| 1932570876 | Brittany Tofsrud | Counselor | 4501 Coleman St Ste 103, Bismarck, ND 58503 | 2015-10-19 |
| 1043680754 | Sarah Mcfarlen | Specialist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2015-10-07 |
| 1306106638 | Julie Ann Sandvig | Occupational Therapist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| 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 |
|---|---|---|---|---|
| 1902416621 | Rachel Christine Petit | Speech-Language Pathologist | 1107 S 7th St, Bismarck, ND 58504-6533 | 2020-08-06 |
| 1134787146 | Mariah Lynn Benz | Speech-Language Pathologist | 809 W Interstate Ave Unit A, Bismarck, ND 58503-0964 | 2019-06-04 |
| 1366909251 | Milestones Therapy | Speech-Language Pathologist | 1033 S Washington St, Bismarck, ND 58504-6262 | 2019-02-27 |
| 1578072047 | Kathy Ann Watson | Speech-Language Pathologist | 17268 E 2750 North Rd, Bismarck, IL 61814-5130 | 2017-09-27 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1942676002 | Victoria Nicole Eftink | Speech-Language Pathologist | 165 Campus Dr, Bismarck, MO 63624-8500 | 2015-08-12 |
| 1447655675 | Kristin Cleary | Speech-Language Pathologist | 1840 S Grandview Ln, Bismarck, ND 58503-0847 | 2014-10-30 |
| 1528487626 | Amanda Suzanne Potter | Speech-Language Pathologist | 204 West Holloway Ave, Bismarck, IL 61814 | 2014-04-16 |
| 1154748895 | Sandra Hendricksen Martire | Speech-Language Pathologist | 630 Oberhausen Dr, Bismarck, ND 58504-7056 | 2014-03-19 |
| 1649615352 | Jessica Towle Slp | Speech-Language Pathologist | 2505 Lacorte Pl, Bismarck, ND 58503-8866 | 2013-05-08 |
| Find all providers in BISMARCK | ||||
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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.