HOANG KIM PETERSEN (NPI# 1780989590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780989590 |
| Entity Type | Individual |
| Full Name | HOANG KIM PETERSEN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
16728 E Smoky Hill Rd Unit 10d Centennial CO 80015-2400 |
| Mailing Address |
2550 N Thunderbird Cir Ste 303 Mesa AZ 85215-1219 |
| Practice Telephone | 3037667006 |
| Practice Fax Number | 3037661023 |
| Mailing Telephone | 4804554932 |
| Mailing Fax Number | 4807760025 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-10342 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1649 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200342180 A | 05 | |
| TX | 283185103 | 05 | |
| TX | 283185101 | 05 | |
| TX | 283185102 | 05 | |
| TX | 283185104 | 05 | |
| NM | 78459834 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 S Coulter St, Amarillo, TX 791061786 | 8035455630 | 8063545689 |
| Street Address |
16728 E SMOKY HILL RD UNIT 10D |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80015-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285163170 | Victoria M Henderson | Nurse Practitioner | 16728 E Smoky Hill Rd Unit 10d, Centennial, CO 80015-2400 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372318 | Stephanie Cowley-thompson | Nurse Practitioner | 13111 E Briarwood Ave Ste 105, Centennial, CO 80112-3925 | 2020-10-06 |
| 1881151934 | Kelly Amber Steward | Nurse Practitioner | 7200 S Alton Way Ste B100, Centennial, CO 80112-2262 | 2019-02-25 |
| 1417206657 | Amy L Quinn | Nurse Practitioner | 29270 East Smoky Hill Road, Centennial, CO 80015 | 2012-09-04 |
| 1073780789 | Amy Jeanne Snell -johnson | Nurse Practitioner | 19855 E Belleview Pl, Centennial, CO 80015-3788 | 2008-05-12 |
| 1073780151 | Stefany R Carstensen | Nurse Practitioner | 7200 E Dry Creek Rd Ste A201, Centennial, CO 80112 | 2008-05-08 |
| 1588636948 | Robert George Hunt | Nurse Practitioner | 6465 Greenwood Plaza Blvd, Suite 300, Centennial, CO 80111-4905 | 2006-02-01 |
| 1649884016 | Kelly Jost | Nurse Practitioner | 6726 S Revere Pkwy Ste 180, Centennial, CO 80112-3962 | 2020-09-03 |
| 1174136352 | Amy L Hinds | Nurse Practitioner | 6726 S Revere Pkwy Ste 180, Centennial, CO 80112-3962 | 2020-08-26 |
| 1275155822 | Alexis Dori Munro | Nurse Practitioner | 19711 E Smoky Hill Rd, Centennial, CO 80015-5194 | 2020-05-16 |
| 1003457276 | Nathaniel Civili | Nurse Practitioner | 7200 S Alton Way Ste B100, Centennial, CO 80112-2262 | 2019-09-30 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80015 |
Please comment or provide details below to improve the information on HOANG KIM PETERSEN.
| 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.