ANDREA MARIE PETERSON (NPI# 1922569698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922569698 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE PETERSON |
| Other Name | MRS. ANDREA MARIE OMAN |
| Credential | R.N. |
| Practice Address |
1917 Lakeshore Dr Modesto CA 95355-1869 |
| Practice Telephone | 2094042765 |
| Mailing Telephone | 2094042765 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 789792 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154689412 | Andrea Lyn Peterson | Occupational Therapy Assistant | 3452 Hickory Ln, Deer Park, TX 77536-5051 | 2012-04-24 |
| 1316559529 | Andrea Dawn Peterson | Social Worker | 520 N 4th St, Springfield, IL 62702-5238 | 2020-08-19 |
| 1336762772 | Andrea Peterson | Behavioral Analyst | 8285 S Saginaw St, Grand Blanc, MI 48439-2468 | 2020-05-20 |
| 1740812858 | Andrea Peterson | Psychologist | 430 E Shirley Ave, Warrenton, VA 20186-3725 | 2020-02-06 |
| 1063876019 | Andrea Michelle Peterson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9032 | 2016-04-06 |
| 1609146570 | Andrea Peterson | Marriage & Family Therapist | 2378 Maritime Dr Ste 100, Elk Grove, CA 95758-3641 | 2012-01-09 |
| 1770731473 | Andrea B Peterson | Nurse Practitioner | 737 Broadway, Fargo, ND 58122-0001 | 2008-09-05 |
| 1942324876 | Andrea M.h. Peterson | Social Worker | 1127 N Oakley Blvd, 3rd Floor, Chicago, IL 60622-3507 | 2007-03-17 |
| 1801904776 | Andrea T Peterson | Physical Medicine & Rehabilitation | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-08-29 |
| 1245200187 | Andrea A Peterson | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-24 |
| Street Address |
1917 LAKESHORE DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679025837 | Marcella Murphy | Pediatrics | 2904 Century Pl, Modesto, CA 95355-8736 | 2016-11-03 |
| 1619008661 | Mohammad Javaid Bhatti | Pediatrics | 1325 Blakely Ln, Modesto, CA 95356-8984 | 2007-03-08 |
| 1528103330 | Pamela A Zachar | Pediatrics | Doctors Medical Center, 1441 Florida Avenue, Modesto, CA 95350 | 2007-02-20 |
| 1972642239 | Javier Valero Fonseca | Pediatrics | 1524 Mchenry Ave Ste 570, Modesto, CA 95350-4574 | 2007-02-05 |
| 1285729830 | Rosy Shah | Pediatrics | 700 17th Street, Modesto, CA 95354 | 2006-10-03 |
| 1518991983 | Armand Richaud Hernandez | Pediatrics | 1329 Spanos Ct Ste C4, Modesto, CA 95355-2806 | 2006-07-10 |
| 1982660122 | Yvonne J Brouard | Pediatrics | 1144 Coffee Rd, Modesto, CA 95355-4205 | 2006-04-25 |
| 1679555213 | Antonio E. Apellanes | Pediatrics | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2005-11-18 |
| 1588646004 | Anuradha Dubey | Pediatrics | 4312 Spyres Way, Modesto, CA 95356-9259 | 2005-11-18 |
| 1962499475 | S Rush Bailey | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-29 |
| Find all providers in MODESTO | ||||
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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.