MRS. SHELLEY KAREE PETERSON (NPI# 1770134793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770134793 |
Entity Type | Individual |
Full Name | MRS. SHELLEY KAREE PETERSON |
Practice Address |
10311 Bittersweet St Nw Coon Rapids MN 55433 |
Practice Telephone | 7634278817 |
Mailing Telephone | 7634278817 |
Enumeration Date | 2019-09-20 |
Last Update Date | 2019-09-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588992572 | Shelley Jolene Peterson | Optometrist | 123 W Salem Ave, Indianola, IA 50125-2518 | 2009-12-02 |
Street Address |
10311 BITTERSWEET ST NW |
City | COON RAPIDS |
State | MN |
Zip Code | 55433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
1215304738 | Bruce A. Johnson | Marriage & Family Therapist | 425 Coon Rapids Blvd., Coon Rapids, MN 55433 | 2015-09-01 |
Find all providers in zip 55433 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780234062 | Ruth Ellen Tessmer | Technician | 11231 Swallow St Nw, Coon Rapids, MN 55433-3657 | 2019-09-18 |
1679602734 | Lisa Mae Schafer | Technician | 11577 Butternut St Nw, Coon Rapids, MN 55448-3417 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255959581 | Ready To Care | Technician | 7420 Unity Ave N Ste 110c, Brooklyn Park, MN 55443-3161 | 2020-07-13 |
1437789781 | Anita Mae Thompson | Technician | 41306 120th St, Waseca, MN 56093 | 2020-01-24 |
1548809007 | Yeev Thoj | Technician | 1896 3rd St E, Saint Paul, MN 55119-3417 | 2020-01-02 |
1578102026 | Ronald Dean Luckhardt | Technician | 5617 Cleary Road Nw, Anoka, MN 55303-9624 | 2020-01-02 |
1356986475 | Barbro E Strom Langley | Technician | 16901 River View Cir, Big Lake, MN 55309 | 2019-11-13 |
1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
1770126674 | Abigail Larson | Technician | 5328 Hwy 7, Culver, MN 55779 | 2019-10-23 |
1265074173 | Madeline Teresa Stoltz | Technician | 219 Plum Run, Le Sueur, MN 56058 | 2019-10-11 |
1740822642 | Maxine L. Mccormick | Technician | 40 Irvine Park, Saint Paul, MN 55102-2413 | 2019-10-11 |
1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
Find all providers with the same taxonomy |
City | COON RAPIDS |
Zip Code | 55433 |
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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.