MRS. GRETCHEN KELLEY PETERSEN


Address: 225 37th Ave., 3rd Floor, San Mateo, CA 94403
Phone: 4157102297

MRS. GRETCHEN KELLEY PETERSEN (NPI# 1992058614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992058614
Entity Type Individual
Full Name MRS. GRETCHEN KELLEY PETERSEN
Credential R.N.
Practice Address 225 37th Ave.
3rd Floor
San Mateo
CA 94403
Mailing Address 225 37th Avenue
3rd Floor
San Mateo
CA 94403
Practice Telephone 4157102297
Mailing Telephone 4157102297
Enumeration Date 2012-10-18
Last Update Date 2012-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
663284 CA Nursing Service Providers

Other Providers GRETCHEN PETERSEN

NPI Name Taxonomy Address Enumeration
1003398561 Gretchen Petersen Social Worker 1507 Washington St, West Newton, MA 02465-2219 2018-08-31

Office Location

Street Address 225 37TH AVE.
3RD FLOOR
City SAN MATEO
State CA
Zip Code 94403

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710520903 Happy Enerqi LLC Acupuncturist 5 43rd Ave, San Mateo, CA 94403 2019-10-21
1740840396 Vincent Wing Ching Fong Marriage & Family Therapist 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 2019-06-17
1861056426 Denise Gaytan Licensed Vocational Nurse 2600 El Camino, San Mateo, CA 94403 2019-04-29
1134686991 Connie Markoff Counselor 3827 Fernwood St, San Mateo, CA 94403 2019-02-27
1467965392 Happyqi Inc Acupuncturist 5 43rd Ave., San Mateo, CA 94403 2017-11-14
1710403092 John Luu Chiropractor 3153 Campus Dr, San Mateo, CA 94403 2017-08-17
1477009033 Latifunisa Lilani Community Health Worker 2600 El Camino Real, San Mateo, CA 94403 2016-09-01
1881029874 Juan Carlos Friesen Licensed Vocational Nurse 2600 S. El Camino, Suite #200, San Mateo, CA 94403 2013-09-09
1619300423 Emily Rodda Nurse Practitioner 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 2013-08-15
1619309549 Maria Lucila Echeverria-bustios Counselor 1911 Ivy St., San Mateo, CA 94403 2013-08-02
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497933642 Jason Deibel Registered Nurse 3080 La Selva St, San Mateo, CA 94403-2109 2008-02-08
1811197189 Heather Alison Harms Registered Nurse 3080 La Selva St, San Mateo, CA 94403-2109 2007-07-24
1366568909 Greta Gioustremes Registered Nurse 3080 La Selva St, San Mateo, CA 94403-2109 2007-03-22
1407980048 Li-ping Fan Registered Nurse 3080 La Selva St, San Mateo, CA 94403-2109 2007-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497361430 Marilyn Dormubari Sunday Registered Nurse 7511 Clear Lake Aly, Sacramento, CA 95829-8743 2020-09-16
1992315451 Michelle Patino Registered Nurse 615b 2nd St, Petaluma, CA 94952-5123 2020-08-08
1144846080 Paloma Beope Soriano Registered Nurse 4302 Valeta St, San Diego, CA 92107-1510 2020-06-16
1942822747 Holly Sears Chisholm Registered Nurse 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 2020-05-14
1952937658 Mariam Gbaty Soumahoro Registered Nurse 3800 Silver Spur Way, Sacramento, CA 95841-4411 2020-03-14
1194350967 Letisha Kathleen Kingsbury Registered Nurse 724 Granada Dr, Vista, CA 92083-4731 2020-03-11
1215576236 Jocelyn Raquel Raedeker-freitas Registered Nurse 3165 B St, San Diego, CA 92102-2359 2019-12-23
1861030710 Michelle Galang Registered Nurse 658 Rainbow Dr, Chula Vista, CA 91911-6844 2019-12-11
1023655172 David Delgado Registered Nurse 27425 Bolandra Ct, Temecula, CA 92591-6123 2019-12-09
1104473297 Shokoufeh Shokri Registered Nurse 2951 Mainway Dr, Los Alamitos, CA 90720-4646 2019-08-22
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Competitor

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City SAN MATEO
Zip Code 94403

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Dataset Information

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.

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