LORI LYNN PETERSON (NPI# 1780128249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780128249 |
| Entity Type | Individual |
| Full Name | LORI LYNN PETERSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
8805 N Tabler Road Health & Wellness Clinic Morris IL 60450 |
| Practice Telephone | 8159427834 |
| Practice Fax Number | 8159427834 |
| Mailing Telephone | 8159427834 |
| Mailing Fax Number | 7139513468 |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209015226 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Gore Rd Ste H, Morris, IL 604509466 | 8153648919 | |
| 27240 W Saxony Dr, Channahon, IL 604101416 | 8155211500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669874400 | Lori B Peterson | Counselor | 5100 N Brookline Ave Ste 210, Oklahoma City, OK 73112-3603 | 2014-09-24 |
| 1003152521 | Lori Ann Peterson | Massage Therapist | 40707 N Courage Trl, Anthem, AZ 85086-2531 | 2013-01-02 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1437128535 | Lori A Peterson | Occupational Therapist | 310 Smith Ave N Ste 370, Saint Paul, MN 55102-2383 | 2006-03-14 |
| 1780085753 | Lori Peterson | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2014-09-10 |
| 1750673810 | Lori Peterson | Mechanotherapist | 3316 Ne 125th St, Suite #1, Seattle, WA 98125-4565 | 2011-05-09 |
| 1063588978 | Lori Ann Peterson | Physical Therapist | 1550 3rd St, Lincoln Manor, Lincoln, CA 95648 | 2006-11-24 |
| 1821191891 | Lori Jean Peterson | Nurse Practitioner | 1752 Dorset Ln, New Richmond, WI 54017-2452 | 2006-09-06 |
| 1558307884 | Lori Peterson | Pathology | 1892 Williams Street, Ft. Harrison, MT 59636 | 2006-06-22 |
| 1073587259 | Lori Letitia Peterson | Registered Nurse | 1853 Oconnell Blvd, Bldg. 1042, Fort Carson, CO 80913-4055 | 2006-02-15 |
| Street Address |
8805 N TABLER ROAD HEALTH & WELLNESS CLINIC |
| City | MORRIS |
| State | IL |
| Zip Code | 60450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| 1841446416 | Christopher Paul Jackson | Physical Therapist | 1051 W Us Rt 6, Suite 400, Morris, IL 60450 | 2008-08-14 |
| Find all providers in zip 60450 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198103 | Briana Flori | Nurse Practitioner | 1820 N Division St Ste 701, Morris, IL 60450-1127 | 2019-05-06 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1699385088 | Ivona Bennett | Nurse Practitioner | 219 Bedford Rd, Morris, IL 60450-1442 | 2020-07-31 |
| 1245793488 | Brian R. Czapko | Nurse Practitioner | 1715 N Division St Ste 4d5e, Morris, IL 60450-3100 | 2019-04-12 |
| 1134664279 | Michelle Yost | Nurse Practitioner | 1367 N Division St, Morris, IL 60450-1444 | 2016-12-28 |
| 1871926618 | Dawn M Hawkins | Nurse Practitioner | 1802 N Division St, Suite 201, Morris, IL 60450-1182 | 2013-08-15 |
| 1689921595 | Marie Debartolo | Nurse Practitioner | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 2012-08-09 |
| 1457518474 | Joy Pertile | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2008-05-19 |
| 1144396862 | Risa Ann Dorweiler | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2006-11-27 |
| 1073682597 | Cara Ann Nachbor | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2006-11-07 |
| Find all providers in MORRIS | ||||
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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.