MRS. ALICIA ANN PETERSON (NPI# 1871117275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871117275 |
| Entity Type | Individual |
| Full Name | MRS. ALICIA ANN PETERSON |
| Credential | LMT |
| Practice Address |
291 Hoomaha Rd Makawao HI 96768-8117 |
| Mailing Address |
Po Box 1503 Makawao HI 96768-9998 |
| Practice Telephone | 4153063273 |
| Mailing Telephone | 4153063273 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1993 S Kihei Rd Ste 19, Kihei, HI 967537821 | 8084267418 | 8084267418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063875193 | Alicia Peterson | Hearing Instrument Specialist | 2537 Milton Ave, Janesville, WI 53545-0441 | 2016-04-05 |
| 1790710846 | Alicia M. Peterson | Nurse Practitioner | 2975 14th Ave Ne, Naples, FL 34120-5512 | 2006-07-11 |
| 1942759576 | Alicia Peterson | Nurse Practitioner | 1282 Walnut St, Dawson, MN 56232-2333 | 2016-09-23 |
| 1215296561 | Alicia Peterson | Emergency Medicine | 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132-0002 | 2012-05-07 |
| 1407011331 | Alicia Katherine Peterson | Internal Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2008-07-21 |
| 1396703393 | Alicia R Peterson | Audiologist | 777 Larkfield Rd, Suite 108, Commack, NY 11725-3136 | 2006-05-02 |
| Street Address |
291 HOOMAHA RD |
| City | MAKAWAO |
| State | HI |
| Zip Code | 96768-8117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016853 | Jennifer Marie Slaughter | Social Worker | 1931 Baldwin Ave., Makawao, HI 96768 | 2019-10-31 |
| 1265083018 | Jacob Joseph Wardach | Nurse Practitioner | 81 Makawao Ave #100, Makawao, HI 96768 | 2019-09-24 |
| 1629570908 | Darran Kim | Optometrist | 24 Kiopa'a Street #102, Pukalani, HI 96768 | 2018-03-02 |
| 1487196226 | On The Path Counseling, LLC | Marriage & Family Therapist | 21 B Kealaloa Ave, Makawao, HI 96768 | 2016-11-10 |
| 1255794517 | Kimberly Dolan | Counselor | 1043 Makawao Ave Ste 209b, Makawao, HI 96768 | 2016-04-03 |
| 1023406238 | Sarah Chin Kasai | Optometrist | 8 Kiopaa Street, #102, Makawao, HI 96768 | 2014-12-23 |
| 1407251192 | Vida Rose Yap | Counselor | 1931 Baldwin Avenue, Makawao, HI 96768 | 2014-10-24 |
| 1477965911 | Karen Molina | Massage Therapist | 714a Pelenaka Pl., Makawao, HI 96768 | 2014-06-02 |
| 1023364213 | Adrianna Marie Flavin | Psychologist | 7 Aewa Place, Unit 7-a, Pukalani, HI 96768 | 2012-07-25 |
| 1184982514 | Nina Vishnevska | Psychiatry & Neurology | 1 Kahakapao Rd., Makewao, HI 96768 | 2012-04-23 |
| Find all providers in zip 96768 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716315 | Marsha Rosenblatt | Massage Therapist | 163 Elilani St, Makawao, HI 96768-8323 | 2020-06-30 |
| 1750911012 | Christina Marie Ricchi | Massage Therapist | 3660 Baldwin Ave Ste C, Makawao, HI 96768-7503 | 2020-01-24 |
| 1982266862 | Gilbert Lloyd Mccrary | Massage Therapist | 2740 Liholani St Unit 18, Makawao, HI 96768-8462 | 2019-07-01 |
| 1942868401 | Jasmine Nohelani Galarita | Massage Therapist | 293 Elilani St, Makawao, HI 96768-8325 | 2019-05-30 |
| 1235610734 | Alexis Hawkes | Massage Therapist | 1169 Makawao Ave, Makawao, HI 96768-9439 | 2018-08-23 |
| 1467947887 | Blossom Fabregas | Massage Therapist | 67 Makalani Pl, Makawao, HI 96768-8909 | 2018-06-27 |
| 1891216867 | Ursula M.a. Kahakauwila | Massage Therapist | 95 Makawao Ave Ste 102, Makawao, HI 96768-6809 | 2017-06-29 |
| 1477923969 | The Upcountry Massage Co,llc | Massage Therapist | 7 Aewa Pl Ste 12, Makawao, HI 96768-8882 | 2015-09-28 |
| 1477965911 | Karen Molina | Massage Therapist | 714a Pelenaka Pl., Makawao, HI 96768 | 2014-06-02 |
| 1235418724 | Kara Williams | Massage Therapist | 1043 Makawao Ave Ste 207, Makawao, HI 96768-9468 | 2011-08-15 |
| Find all providers in MAKAWAO | ||||
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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.