Amanda D Petersen (NPI# 1528391372, PAC ID# 2062553084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1528391372 |
| PAC ID by PECOS | 2062553084 |
| Professional Enrollment ID | I20100112000608 |
| Full Name | Amanda D Petersen |
| Organization Legal Name | KADLEC REGIONAL MEDICAL CENTER |
| Address |
4804 W Clearwater Ave Kennewick WA 99336-2119 |
| Phone Number | 5099422355 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739098617 |
| Number of Group Practice Members | 312 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500058 | KADLEC REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4804 W Clearwater Ave, Kennewick, WA 99336-2119 | 5099422355 | KADLEC REGIONAL MEDICAL CENTER |
| 9040 W Clearwater Ave, Kennewick, WA 99336-8635 | 5099423291 | KADLEC REGIONAL MEDICAL CENTER |
| 1135 Jadwin Ave, Richland, WA 99352-3434 | 5099423300 | KADLEC REGIONAL MEDICAL CENTER |
| Organization Legal Name | KADLEC REGIONAL MEDICAL CENTER |
| Physicians | 304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Fernando Frugone Larrea | Geriatric Medicine | Kadlec Regional Medical Center | 911 S Washington St, Kennewick, WA 99336-5600 |
| Mark A Halvorson | Family Medicine | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 101and206, Richland, WA 99352-8650 |
| Amber Elexis Marsh | Nurse Practitioner | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite E, Richland, WA 99352-3301 |
| Paul A Shoemaker | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Mary E Swihart | Nurse Practitioner | Kadlec Regional Medical Center | 3900 S Zintel Way, Kennewick, WA 99337-5092 |
| Patrick Michael Aquilina | Cardiac Electrophysiology | Kadlec Regional Medical Center | 940 Northgate Dr, Richland, WA 99352-3505 |
| Alecia C Sturgill | Physician Assistant | Kadlec Regional Medical Center | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337-2484 |
| Robert Semon | Occupational Therapy | Kadlec Regional Medical Center | 875 Swift Blvd, Suite A, Richland, WA 99352-3592 |
| Romana Shehzadi | Gastroenterology | Kadlec Regional Medical Center | 900 Stevens Dr, Suite 101, Richland, WA 99352-3536 |
| Lisa M Garcia | Certified Nurse Midwife (cnm) | Kadlec Regional Medical Center | 945 Goethals Dr, Richland, WA 99352-3552 |
| Street Address |
4804 W CLEARWATER AVE |
| City | KENNEWICK |
| State | WA |
| Zip | 99336-2119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul A Shoemaker | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Jacob Allen Royal | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Joshua J Hughes | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Shannon L Phipps | Family Medicine | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Bonnie E. Hinckley | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Laura J Campos | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Dawn R Beals | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Annette Ann Mcclendon | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Elizabeth A Sweeney | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Bevan W Briggs | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Lovato | Qualified Audiologist | Sound Audiology and Hearing Aids, LLC | 924 N Columbia Ctr Blvd, Suite 210, Kennewick, WA 99336 |
| Kevin Michael Liebe | Qualified Audiologist | Sound Audiology and Hearing Aids, LLC | 924 N Columbia Ctr Blvd, Suite 210, Kennewick, WA 99336 |
| Whitney Kathleen Jacky | Qualified Audiologist | Sound Audiology and Hearing Aids, LLC | 924 N Columbia Ctr Blvd, Suite 210, Kennewick, WA 99336 |
| Samuel E Coor | Neurology | Kennewick Public Hospital District | 3730 Plaza Way, Trios Health Care Cnt At Southridge, Kennewick, WA 99336-0128 |
| Deanna Pt Dreier | Physical Therapy | Court Club Physical Therapy, LLC | 1350 N Grant St, Kennewick, WA 99336-0516 |
| Julie A Mcelroy | Physical Therapy | 1350 N Grant St, Kennewick, WA 99336-1355 | |
| Alan Arnold Hanson | Chiropractic | Thurber Family Chiropractic | 8350 W Grandridge Blvd, Suite 100, Kennewick, WA 99336-1662 |
| Allen S Liebing | Chiropractic | Thurber Family Chiropractic | 8350 W Grandridge Blvd, Suite 100, Kennewick, WA 99336-1662 |
| Milo M Thurber | Chiropractic | Thurber Family Chiropractic | 8350 W Grandridge Blvd, Suite 100, Kennewick, WA 99336-1662 |
| Janet Michael | Clinical Social Worker | 8350 W Grandridge Blvd, Suite 200, Kennewick, WA 99336-1678 | |
| Find all physicians in zip 99336 | |||
| City | KENNEWICK |
| Zip Code | 99336 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KENNEWICK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amanda D Petersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.