MRS. SHELLEY KAREE PETERSON


Address: 10311 Bittersweet St Nw, Coon Rapids, MN 55433
Phone: 7634278817

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Providers SHELLEY PETERSON

NPI Name Taxonomy Address Enumeration
1588992572 Shelley Jolene Peterson Optometrist 123 W Salem Ave, Indianola, IA 50125-2518 2009-12-02

Office Location

Street Address 10311 BITTERSWEET ST NW
City COON RAPIDS
State MN
Zip Code 55433

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City COON RAPIDS
Zip Code 55433

Improve Information

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Dataset Information

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.

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