DONALD PETERS (NPI# 1932716503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932716503 |
| Entity Type | Individual |
| Full Name | DONALD PETERS |
| Practice Address |
721 Fawcett Ave Tacoma WA 98402-5502 |
| Mailing Address |
945 Fawcett Ave Tacoma WA 98402-5612 |
| Practice Telephone | 2533313193 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639247687 | Donald Lee Peters | Chiropractor | 2 S Mayes St, Pryor, OK 74361-3232 | 2006-11-30 |
| 1194709162 | Donald Walter Peters | Psychiatry & Neurology | 791 Jonestown Rd, Winston Salem, NC 27103-1252 | 2005-12-02 |
| 1194162586 | Donald Richard Peters | Social Worker | 38460 Lincoln Trl, Suite 106, North Branch, MN 55056-5834 | 2013-05-27 |
| 1497820005 | Donald Clinton Peters | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-11-21 |
| 1639157191 | Donald R. Peters | Radiology | 1321 Colby Avenue, Providence Everett Medical Center, Everett, WA 98206 | 2006-01-05 |
| Street Address |
721 FAWCETT AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285757450 | Tacoma Detoxification Center | Substance Abuse Rehabilitation Facility | 721 Fawcett Ave, Suite 100, Tacoma, WA 98402-5502 | 2007-04-10 |
| 1215538194 | Autumn Runyan | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-11-05 |
| 1033716196 | Reginald Rodriquez Zanders | Counselor | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-10-02 |
| 1891302741 | Mary Agau Mapiny | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-24 |
| 1174130017 | Dana Wynn | Licensed Vocational Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-24 |
| 1437765534 | Regina Marie Harris | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-23 |
| 1801402177 | Jennifer E Geisert | Counselor | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-21 |
| 1023626066 | Georgina C May | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-07-15 |
| 1700402872 | Blase Christian Kissinger | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-06-24 |
| 1780200550 | Natascha Jackson | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972945 | Phyllis Lizetta Jordan | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1376180745 | Adriana Guzman | Case Manager/Care Coordinator | 1305 Tacoma Ave S Ste 202, Tacoma, WA 98402-1903 | 2019-12-04 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1174167688 | Carmen Banks | Case Manager/Care Coordinator | 721 Fawcett Ave Fl 3, Tacoma, WA 98402-5502 | 2019-10-29 |
| 1891357539 | Jeannette Twitty | Case Manager/Care Coordinator | 1127 Broadway Ste 10, Tacoma, WA 98402-3519 | 2019-07-02 |
| 1841755840 | Chelsea Perry | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 200, Tacoma, WA 98402-5502 | 2019-02-04 |
| 1265944326 | Erlinda Vergara | Case Manager/Care Coordinator | Bldg 2103 North Division, Tacoma, WA 98433 | 2017-10-30 |
| 1013429216 | Theresa A Gallo | Case Manager/Care Coordinator | Madigan Army Medical Center Hospital Dental Clinic, Tacoma, WA 98431-0001 | 2017-10-27 |
| 1235641598 | Solecia Lizama Cruz | Case Manager/Care Coordinator | 11572 17th & C St, Tacoma, WA 98433 | 2017-10-26 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
| 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.