CARRIE JEAN PETERSON (NPI# 1881055291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881055291 |
| Entity Type | Individual |
| Full Name | CARRIE JEAN PETERSON |
| Credential | DNP |
| Practice Address |
625 N 6th St Phoenix AZ 85004 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 6024068222 |
| Practice Fax Number | 6024067811 |
| Mailing Telephone | 6024064786 |
| Mailing Fax Number | 9166364358 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP8720 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN165205 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2149 E Warner Rd Ste 101, Tempe, AZ 852843495 | 4806106100 | 4804640189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558575456 | Carrie Elene Peterson | Social Worker | 89 Winthrop St, Holliston, MA 01746-2319 | 2007-05-09 |
| 1538164165 | Carrie N Peterson | Dentist | 3226 13th Ave S, Fargo, ND 58103 | 2005-06-20 |
| 1992283568 | Carrie Ann Peterson | Speech-Language Pathologist | 750 Pasquinelli Dr Ste 204, Westmont, IL 60559-1291 | 2018-08-05 |
| 1366843963 | Carrie Peterson | Counselor | 3200 W Highland Blvd, Milwaukee, WI 53208 | 2014-09-15 |
| 1457790842 | Carrie Dawn Peterson | Student in an Organized Health Care Education/Training Program | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2013-06-18 |
| 1851674485 | Carrie Jo Peterson | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2011-09-20 |
| 1881836609 | Carrie Beth Peterson | Dentist | 1605 Se 29th St, Topeka, KS 66605-2601 | 2009-03-25 |
| 1407004021 | Carrie Maureen Peterson | Social Worker | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2008-09-08 |
| 1376707729 | Carrie Yvonne Peterson | Surgery | 9200 W Wisconsin Ave, Colorectal Surgery, Milwaukee, WI 53226-3522 | 2008-07-15 |
| 1366595712 | Carrie Louise Peterson | Nurse Anesthetist, Certified Registered | 1526 Northway Dr, Saint Cloud, MN 56303-1255 | 2007-01-19 |
| Street Address |
625 N 6TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735585 | Panagiotis Mihalis Fidias | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2005-10-27 |
| 1477048957 | Heather Betts | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-06-26 |
| 1568970945 | Karen Dirrigl | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-01-18 |
| 1619481132 | Ginka Conrey | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2017-11-20 |
| 1427406719 | Kimberly J Halla | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-05-27 |
| 1720440548 | Uacc St. Jospeh's Hospital and Medical Center | Clinic/Center | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-03-22 |
| 1093180770 | Mandy Cornelius | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-12-07 |
| 1245604446 | Laurie Mann | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-25 |
| 1952775298 | Dignity Health | Pharmacy | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-24 |
| 1568881472 | Shifat Ahmed | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2014-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
| 1023222551 | Mary L Froehlich | Nurse Practitioner | 2930 E Camelback Rd, Phoenix, AZ 85016-4411 | 2007-05-10 |
| 1396898458 | The Elderly Advocate Inc. | Nurse Practitioner | 4040 E Mcdowell Rd, Suite # 214, Phoenix, AZ 85008-4414 | 2007-01-19 |
| 1245231042 | Sharolyn Liane Mcclurg | Nurse Practitioner | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2005-08-03 |
| 1417518564 | David S. Farrow | Nurse Practitioner | 4350 E Camelback Rd Ste F100, Phoenix, AZ 85018-8313 | 2019-06-27 |
| 1427542927 | William Fox Jr. | Nurse Practitioner | 9520 W Palm Ln, Phoenix, AZ 85037-4403 | 2018-06-18 |
| 1629519335 | Helen Tagormacon Ferrer-irwin | Nurse Practitioner | 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 | 2017-03-14 |
| 1518411313 | Susanne Uhrig | Nurse Practitioner | 20040 N 19th Ave Ste A, Phoenix, AZ 85027-4256 | 2016-08-09 |
| 1568829554 | Anne Bourgeois | Nurse Practitioner | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032 | 2016-01-21 |
| 1689044711 | Healthsignal Partners, LLC | Nurse Practitioner | 21045 N 9th Pl, Suite 205, Phoenix, AZ 85024-5634 | 2015-10-01 |
| Find all providers in PHOENIX | ||||
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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.