MS. REBECCA JO PETERSEN (NPI# 1902349947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902349947 |
| Entity Type | Individual |
| Full Name | MS. REBECCA JO PETERSEN |
| Credential | FNP |
| Practice Address |
216 S Kingshighway Blvd Saint Louis MO 63110-1026 |
| Mailing Address |
660 S Euclid Ave C B 8056 Saint Louis MO 63110-1010 |
| Practice Telephone | 3147471171 |
| Practice Fax Number | 3143623192 |
| Mailing Telephone | 3147471171 |
| Mailing Fax Number | 3143623192 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2009020824 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619495108 | Rebecca Marie Petersen | Acupuncturist | 7550 France Ave S Ste 240, Edina, MN 55435-4821 | 2017-09-05 |
| 1053791954 | Rebecca J Petersen | Dentist | 8325 Seasons Parkway Suite 103, Healthpartners Woodbury Dental, Woodbury, MN 55125-3477 | 2015-06-04 |
| 1962835157 | Rebecca Petersen | Pharmacist | 770 S 400 E Apt 50, Brigham City, UT 84302-3351 | 2013-08-12 |
| 1306403183 | Rebecca Jarratt Petersen | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2019-05-28 |
| 1396262226 | Rebecca Petersen | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2017-08-22 |
| 1851666168 | Rebecca Jean Petersen | Obstetrics & Gynecology | 701 Park Ave, Mailcode P5, Department of Ob/gyn, Minneapolis, MN 55415-1623 | 2012-03-20 |
| 1205125952 | Rebecca Y. Petersen | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-04-04 |
| 1336442144 | Rebecca A Petersen | Nurse Anesthetist, Certified Registered | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2010-12-16 |
| 1124352174 | Rebecca Lee Petersen | Social Worker | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2009-09-23 |
| 1871760280 | Rebecca Prince Petersen | Surgery | 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-0001 | 2008-05-14 |
| Street Address |
216 S KINGSHIGHWAY BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769986 | Donald Craig Allred | Pathology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2005-06-13 |
| 1457832404 | Sudhir Bhimaniya | Radiology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2018-08-28 |
| 1164926846 | Anup K. Bhattacharya | Student in an Organized Health Care Education/Training Program | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2018-03-19 |
| 1467811893 | Kathleen Dienst Stockmann | Dietitian, Registered | 216 S Kingshighway Blvd, Mailstop 90-32-612, Saint Louis, MO 63110-1026 | 2016-02-12 |
| 1770941775 | Gina Jorel | Dietitian, Registered | 216 S Kingshighway Blvd, Mailstop: 90-32-612, Saint Louis, MO 63110-1026 | 2016-02-04 |
| 1508224676 | Kayli Hemphill | Dietitian, Registered | 216 S Kingshighway Blvd, Mailstop 90-32-612, Saint Louis, MO 63110-1026 | 2016-02-04 |
| 1912389404 | Ann-marcia Comfort Tukpah | General Practice | 216 S Kingshighway Blvd, 6th Fl, Saint Louis, MO 63110-1026 | 2015-06-22 |
| 1750787289 | Andrea Mcdonald | Nurse Practitioner | 216 S Kingshighway Blvd, Cancer Care Clinic, Saint Louis, MO 63110-1026 | 2014-11-11 |
| 1578977963 | Jacqueline Wenjia Chen | General Practice | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2014-06-13 |
| 1205240520 | Raymond B Fohtung | General Practice | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2014-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
|---|---|---|---|---|
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1902444292 | Tony Duy Le | Nurse Practitioner | 1251 Hyannis Dr, Saint Louis, MO 63146-4639 | 2019-12-17 |
| 1114562154 | Lisa Pezold | Nurse Practitioner | 2029 Woodland Pkwy, Saint Louis, MO 63146-4267 | 2019-11-13 |
| 1255806527 | Rachel Ramos | Nurse Practitioner | 11133 Dunn Rd Ste 209e, Saint Louis, MO 63136-6163 | 2018-10-12 |
| 1851893341 | Jessica Rae Britt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz Fl 10, 10th Fl, Saint Louis, MO 63110-1003 | 2018-03-01 |
| 1952816449 | Loreta Shahinaj | Nurse Practitioner | 12700 Southfork Rd Ste 270, Saint Louis, MO 63128-3201 | 2017-12-06 |
| 1689183832 | Natalie Michelle Barone | Nurse Practitioner | 3023 N Ballas Rd Ste 630, Saint Louis, MO 63131-2361 | 2017-09-20 |
| 1194240986 | Laura Kaesser | Nurse Practitioner | 11125 Dunn Rd Ste 204, Saint Louis, MO 63136-6188 | 2017-08-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.