MARY PETERSON (NPI# 1861629370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861629370 |
| Entity Type | Individual |
| Full Name | MARY PETERSON |
| Practice Address |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Mailing Address |
Po Box 5299 Tacoma WA 98415-0299 |
| Practice Telephone | 2534031000 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314908 | Mary Jane Peterson | Chore Provider | 1126 Marianna Dr, Mansfield, OH 44903-9672 | 2020-10-21 |
| 1265963813 | Mary Peterson | Counselor | 221 Loesch Dr, Elgin, TX 78621-1101 | 2017-03-24 |
| 1598179434 | Mary Kathryn Peterson | Physical Therapist | 4690 Whipple Rd, Riverside, CA 92506-1066 | 2014-06-18 |
| 1356508675 | Mary Kathryn Peterson | Family Medicine | 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 | 2008-05-22 |
| 1457564916 | Mary Beth Peterson | Pharmacist | Hy-vee Drugstore #7026, 2001 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402 | 2007-05-08 |
| 1942429873 | Mary Ann Peterson | Physical Therapist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-04-25 |
| 1538233176 | Mary Peterson | Chiropractor | 7250 W College Dr, Suite 1sw, Palos Heights, IL 60463-1151 | 2006-11-17 |
| 1083621445 | Mary E Peterson | Nurse Practitioner | W12070 State Highway 35, Stockholm, WI 54769-6127 | 2006-08-01 |
| 1174572846 | Mary E. Peterson | Psychiatry & Neurology | 105 W 8th Ave Ste 6055, Spokane, WA 99204-2312 | 2006-05-09 |
| 1306813548 | Mary L Peterson | Social Worker | 2040 Raybrook Se, Suite 103, Grand Rapids, MI 49546 | 2006-03-07 |
| Street Address |
315 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993298 | Catrina M. Funk | Obstetrics & Gynecology | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2005-06-22 |
| 1891301248 | Yaoyi Xiao | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-09-21 |
| 1639782741 | Angie Kim Nguyen | Pediatrics | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-08-28 |
| 1720603558 | Louie Joseph Scalise II | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-06-08 |
| 1255951760 | Jamie R Sprague | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-04-24 |
| 1629606959 | Melissa Ann Sauvage | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-31 |
| 1326675752 | Rajeshwari Shrestha | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-25 |
| 1013542422 | Heather Bahrt | Dietitian, Registered | 315 Martin Luther King Jr Way, Ms- 315c2hin, Tacoma, WA 98405-4234 | 2020-03-05 |
| 1457986150 | Deannita Fielding | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-03 |
| 1336789551 | Yuliana Garcia | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518586007 | Paige Worley | Dietitian, Registered | 3905 N 36th St, Tacoma, WA 98407-5634 | 2020-04-14 |
| 1659933554 | Julia Budniak | Dietitian, Registered | 9040 Jackson Street, Tacoma, WA 98431-0001 | 2019-07-01 |
| 1740755636 | Erika Mary Clough | Dietitian, Registered | 3401 S 19th St Ste 100, Tacoma, WA 98405-1909 | 2018-10-08 |
| 1417422577 | Paul Holthaus | Dietitian, Registered | 9040 Jackson Ave Nutrition Clinic, Tacoma, WA 98431-0001 | 2018-10-04 |
| 1003320078 | Christina Stapke | Dietitian, Registered | 1624 South I St. Ste 205, Tacoma, WA 98405 | 2017-11-28 |
| 1023530227 | Alexandra Alyse Mckee | Dietitian, Registered | 233 St Helens Ave Apt 403, Tacoma, WA 98402-2585 | 2017-07-10 |
| 1407386287 | Amber E Lagerwey | Dietitian, Registered | 15703 Pacific Ave S Ste B, Tacoma, WA 98444-4675 | 2017-06-14 |
| 1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
| 1528439718 | Hannah Lima | Dietitian, Registered | 12615 26th Ave E, Tacoma, WA 98445-5014 | 2015-10-13 |
| 1871907519 | Anne B Corley | Dietitian, Registered | 2102 N Pearl St Ste 405, Tacoma, WA 98406-2550 | 2014-06-19 |
| Find all providers in TACOMA | ||||
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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.