MRS. AMIE NICHOLE PETERSON (NPI# 1760791107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760791107 |
| Entity Type | Individual |
| Full Name | MRS. AMIE NICHOLE PETERSON |
| Credential | ARNP |
| Practice Address |
12600 Creekside Ln Suite 6 Fort Myers FL 33919-3353 |
| Mailing Address |
P.o. Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439219 |
| Practice Fax Number | 2393439218 |
| Mailing Telephone | 2394241449 |
| Mailing Fax Number | 2394241421 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2015-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
2629902 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194095968 | Amie Peterson | Counselor | 2624 9th Ave S, Fargo, ND 58103-2350 | 2012-01-10 |
| Street Address |
12600 CREEKSIDE LN SUITE 6 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902898471 | Michael P. Shain | Psychologist | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919 | 2005-08-19 |
| 1063834653 | Tyson Hutchison | Nurse Practitioner | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919 | 2014-01-16 |
| 1598044745 | Cristina Maria Larrazaleta Fajardo | Internal Medicine | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2011-08-05 |
| 1972756005 | Tanja Mani | Psychologist | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919 | 2008-11-03 |
| 1457551400 | Neurology Associates of Lee County | Specialist | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2007-07-18 |
| 1003970336 | Denise M Mcpherson | Nurse Practitioner | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2006-12-21 |
| 1568415438 | Cathleen L Zerbe | Nurse Practitioner | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 | 2006-05-19 |
| 1669425732 | Mary Lewis | Nurse Practitioner | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 | 2006-05-18 |
| 1437146339 | Judith Petrin | Clinical Nurse Specialist | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2005-10-05 |
| 1649263724 | Lmr Imaging | Radiology | 12600 Creekside Ln, Fort Myers, FL 33919-3353 | 2005-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342657 | Fritz Gerald Luma | Nurse Practitioner | 121 Nw 2nd Ave Unit 2, Hallandale Beach, FL 33009-4132 | 2020-09-29 |
| 1124645817 | Ashley Danielle Porcaro | Nurse Practitioner | 6133 Branchwood Dr, Lake Worth, FL 33467-7390 | 2020-06-29 |
| 1891324257 | Sara Quijano | Nurse Practitioner | 703 Willow Branch Ct, Lutz, FL 33549-5630 | 2020-04-07 |
| 1174098404 | Kristina Ashley Gass | Nurse Practitioner | 11845 Sw 100th St, Miami, FL 33186-2742 | 2018-10-13 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| 1235676909 | Jennifer Price | Nurse Practitioner | 4853 Saratoga Pl, Land O Lakes, FL 34639-6158 | 2017-01-19 |
| 1598139859 | Kyle Adam Payne | Nurse Practitioner | 6769 Hampshire Blvd, Lakeland, FL 33813-4429 | 2015-11-23 |
| 1144611716 | Hector F Gordillo | Nurse Practitioner | 1611 Nw 12th Ave Ste C402, Miami, FL 33136-1005 | 2015-02-18 |
| 1245518976 | Corrado LLC | Nurse Practitioner | 1698 B West Hibiscus Blvd, Suite B, Melbourne, FL 32901-2639 | 2011-07-29 |
| 1992092464 | Maria E Castro | Nurse Practitioner | 2905 Carolina Ave, Lakeland, FL 33803-4001 | 2011-07-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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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.