NICOLE MICHELLE PETERSEN (NPI# 1962798538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962798538 |
| Entity Type | Individual |
| Full Name | NICOLE MICHELLE PETERSEN |
| Practice Address |
892 27th St San Diego CA 92154-1444 |
| Practice Telephone | 6195754687 |
| Mailing Telephone | 6195754687 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2015-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN196926 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053948943 | Nicole Marie Petersen | Dietitian, Registered | 118 Glenview Dr, Martinez, CA 94553-5862 | 2020-03-23 |
| 1144227448 | Nicole Marie Petersen | Pharmacist | 8200 N Lindbergh Blvd, Schnucks Pharmacy, Florissant, MO 63031-7107 | 2005-06-30 |
| 1730795030 | Nicole Maree Petersen | Nurse Practitioner | 3950 Keene Rd, West Richland, WA 99353-4901 | 2020-09-22 |
| 1750736534 | Nicole Reed Petersen | Counselor | 835 S Burlington Ave, Ste 108, Hastings, NE 68901-6960 | 2016-04-28 |
| Street Address |
892 27TH ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164596300 | Lisa Anne Bertelle | Marriage & Family Therapist | 892 27th St, San Diego, CA 92154-1444 | 2006-11-20 |
| 1992311609 | Lori Kay Rice | Student in an Organized Health Care Education/Training Program | 892 27th St, San Diego, CA 92154-1444 | 2020-09-17 |
| 1356957237 | Farah Krayem | Student in an Organized Health Care Education/Training Program | 892 27th St, San Diego, CA 92154-1444 | 2020-09-16 |
| 1003429424 | Nakia Dana Squirewell | Counselor | 892 27th St, San Diego, CA 92154-1444 | 2020-08-25 |
| 1528670270 | Jannet Nostrates | Student in an Organized Health Care Education/Training Program | 892 27th St, San Diego, CA 92154-1444 | 2020-08-22 |
| 1487266284 | Anahi Toledo | Student in an Organized Health Care Education/Training Program | 892 27th St, San Diego, CA 92154-1444 | 2020-08-21 |
| 1457963829 | Matthew Louis Mccue | Student in an Organized Health Care Education/Training Program | 892 27th St, San Diego, CA 92154-1444 | 2020-08-18 |
| 1821609439 | Marissa Marr | Counselor | 892 27th St, San Diego, CA 92154-1444 | 2020-08-17 |
| 1245858026 | Nancy Phung | Counselor | 892 27th St, San Diego, CA 92154-1444 | 2020-07-08 |
| 1194341156 | Mylady Puno | Licensed Vocational Nurse | 892 27th St, San Diego, CA 92154-1444 | 2020-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908782 | Ying Pan | Licensed Vocational Nurse | 9909 Azuaga St Unit C107, San Diego, CA 92129-6019 | 2020-10-05 |
| 1194336982 | Adelita Jasso | Licensed Vocational Nurse | 446 Alta Rd # 300, San Diego, CA 92158-0001 | 2020-08-14 |
| 1750909156 | Hillary Carlson | Licensed Vocational Nurse | 4651 36th St, San Diego, CA 92116-3642 | 2020-07-12 |
| 1841816501 | Cristiana Paris Zajac | Licensed Vocational Nurse | 2654 Worden St Unit 106, San Diego, CA 92110-5849 | 2020-06-18 |
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1720555659 | Noelle Dizon | Licensed Vocational Nurse | 3585 Acacia St, San Diego, CA 92113-3130 | 2018-10-29 |
| 1285114728 | Tashiya Jean Miller | Licensed Vocational Nurse | 3053 Chamoune Ave, San Diego, CA 92105-4307 | 2018-08-15 |
| 1013402445 | Eduardo Carrera | Licensed Vocational Nurse | 11210 Corte Playa Corona, San Diego, CA 92124-4134 | 2018-06-27 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
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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.