Katie Peterson (NPI# 1528119906, PAC ID# 2466733274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1528119906 |
| PAC ID by PECOS | 2466733274 |
| Professional Enrollment ID | I20170109003108 |
| Full Name | Katie Peterson |
| Organization Legal Name | MOBILE HEALTHCARE SOLUTIONS LLC |
| Address |
12262 E Bradshaw Mtn Rd Dewey AZ 86327-6032 |
| Phone Number | 9287784711 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5294882304 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030012 | YAVAPAI REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12262 E Bradshaw Mtn Rd, Dewey, AZ 86327-6032 | 9287784711 | MOBILE HEALTHCARE SOLUTIONS LLC |
| 425 E Gurley St, Prescott, AZ 86301-3805 | 9284587583 | PRESCOTT HEALTHCARE SOLUTIONS, LLC |
| Organization Legal Name | MOBILE HEALTHCARE SOLUTIONS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa L Stripling | Nurse Practitioner | Mobile Healthcare Solutions LLC | 17 Windward Isle, Palm Beach Gardens, FL 33418-8046 |
| Christine Brooks | Nurse Practitioner | Mobile Healthcare Solutions LLC | 17 Windward Isle, Palm Beach Gardens, FL 33418-8046 |
| Street Address |
12262 E BRADSHAW MTN RD |
| City | DEWEY |
| State | AZ |
| Zip | 86327-6032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarabeth Z Roberto | Nurse Practitioner | Prescott Healthcare Solutions LLC | 12075 E State Route 69, Dewey, AZ 86327-4517 |
| Caroline Bingham | Nurse Practitioner | Prescott Healthcare Solutions LLC | 12075 E State Route 69, Dewey, AZ 86327-4517 |
| Michael Paul Randall | Chiropractic | 1101 N Old Chisholm Trl, Suite A, Dewey, AZ 86327-5833 | |
| Narendra Sankar | Internal Medicine | 390 S State Route 69 102, Dewey, AZ 86327-7082 | |
| Harry L Gale | Internal Medicine | Arizona Grand Medical Center Pllc | 13175 E Hwy 169, Dewey, AZ 86327-7372 |
| James Mikrut | Physical Therapy | 13175 E Hwy 169, Dewey, AZ 86327-7372 | |
| Neal H Cabaluna | Internal Medicine | Arizona Grand Medical Center Pllc | 13175 E Hwy 169, Dewey, AZ 86327-7372 |
| City | DEWEY |
| Zip Code | 86327 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DEWEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Katie Peterson.
| 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.