BEVERLY A PETERSON (NPI# 1225623101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225623101 |
| Entity Type | Individual |
| Full Name | BEVERLY A PETERSON |
| Gender | Female |
| Credential | LNA |
| Practice Address | 10401 N Cave Creek Rd Lot 310 Phoenix AZ 85020-1601 |
| Practice Telephone | 6232213625 |
| Mailing Address | 10401 N Cave Creek Rd Lot 310 Phoenix AZ 85020-1601 |
| Mailing Telephone | 6232213625 |
| Certification Date | 2021-03-03 |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 193400000X SINGLE SPECIALTY GROUP | LNA1000007648 | AZ | Nursing Service Related Providers |
| Street Address | 10401 N CAVE CREEK RD LOT 310 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477148351 | Living Free To Be Us Housing and Home Care LLC | Home Health | 10401 N Cave Creek Rd Lot 310, Phoenix, AZ 85020-1601 | 2021-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811584451 | Marylou Jacobo | Nurse's Aide | 10401 N Cave Creek Rd Lot 306, Phoenix, AZ 85020-1601 | 2020-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1942778246 | Shea Sullivan | Family Medicine | 9220 N Central Ave, Phoenix, AZ 85020 | 2018-11-05 |
| 1558848408 | Zukaitis Pllc | Anesthesiology | 7878 N 16th St Ste 250, Phoenix, AZ 85020 | 2018-07-24 |
| 1629568100 | Tweb Resources Dba The World Egg Bank · The World Egg Bank | Registered Nurse · Reproductive Endocrinology/Infertility | 7227 N 16th St Ste 160, Phoenix, AZ 85020 | 2018-05-10 |
| 1043727167 | Bluepaz, LLC | Psychologist · Clinical | 7000 N 16th St, Ste 120 #158, Phoenix, AZ 85020 | 2018-01-10 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC · Thomas & Thomas Dental | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa · Erin Bartosik | Psychologist · School | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1811584451 | Marylou Jacobo | 10401 N Cave Creek Rd Lot 306, Phoenix, AZ 85020-1601 | 2020-12-29 | |
| 1780289561 | Victor Nkem | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2020-12-01 | |
| 1407417199 | Anita Amanda Bloomingburg | 829 E 153rd St, Phoenix, IL 60426-2554 | 2019-06-24 | |
| 1467851444 | Marie Shlezar | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2014-08-15 | |
| 1003225673 | Thomas Arroyo Iv | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2014-08-07 | |
| 1093977092 | Simchah Care, LLC · Right At Home, Inc. | 8601 N Black Canyon Hwy, Suite 208, Phoenix, AZ 85021-4109 | 2008-06-30 | |
| 1023232402 | Kyla Williamson | 2015 E Camelback Rd, Phoenix, AZ 85016-4710 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053901363 | Younger Fasuekoi | 5190 N 55th Ave Apt 250, Glendale, AZ 85301-7543 | 2021-01-20 | |
| 1245829159 | Pearl Abbott | 12740 N Plaza Del Rio Blvd, Peoria, AZ 85381-8100 | 2021-01-14 | |
| 1811584451 | Marylou Jacobo | 10401 N Cave Creek Rd Lot 306, Phoenix, AZ 85020-1601 | 2020-12-29 | |
| 1780289561 | Victor Nkem | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2020-12-01 | |
| 1649877945 | Serene Home Healthcare LLC | 37302 W Bello Ln, Maricopa, AZ 85138-5072 | 2020-10-08 | |
| 1295348787 | Emma Guadalupe Cortez | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 | |
| 1649882721 | Shirli Regev | 9851 W Lone Cactus Dr, Peoria, AZ 85382-0549 | 2020-08-19 | |
| 1831708338 | Timothy Bingham | 6020 E Brown Rd Ste 104, Mesa, AZ 85205-4812 | 2020-07-30 | |
| 1942850268 | Kyra Rene Begay | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-18 | |
| 1871143255 | Andrea Dawn Begay | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-17 | |
| Find all providers in the same taxonomy | ||||
| City | PHOENIX |
| Zip Code | 85020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033711676 | Beverly Ann Peterson | Counselor · Mental Health | 17720 Ne Halsey St Ste A, Portland, OR 97230-6771 | 2020-11-09 |
| 1588785380 | Peterson Occupational Health Services, Sc · Peterson Occupational Medicine, Sc | Clinic/Center · Occupational Medicine | 2300 W Peterson Ave, Chicago, IL 60659-5203 | 2007-04-02 |
| 1912379504 | Peterson Pharmacy Inc · Peterson Pharmacy | Pharmacy | 2517 W Peterson Ave, Chicago, IL 60659-4108 | 2015-10-22 |
| 1295865780 | City of Beverly · Beverly Public Schools | Local Education Agency (LEA) | 502 Cabot St, Rm 163, Beverly, MA 01915-2538 | 2007-03-06 |
| 1972551646 | Beverly Pathology Associates, P.C. | Pathology · Anatomic Pathology & Clinical Pathology | 85 Herrick St, Beverly Hospital, Beverly, MA 01915-1776 | 2006-05-05 |
| 1154590081 | City of Beverly · Beverly Health Department | Public Health or Welfare | 90 Colon St, Beverly, MA 01915-3604 | 2008-02-25 |
| 1376047613 | Beverly Accord Therpay | Clinic/Center · Mental Health (Including Community Mental Health Center) | 170 S Beverly Dr Ste 307, Beverly Hills, CA 90212-3000 | 2018-03-21 |
| 1083068423 | Beverly Surgical Center | Clinic/Center · Ambulatory Surgical | 450 S Beverly Dr, Beverly Hills, CA 90212-4402 | 2016-04-22 |
| 1679604169 | Paul A Peterson Dds Inc · Peterson Center for Dentistry | Dentist · General Practice | 400 W Ventura Blvd #165, Camarillo, CA 93010 | 2007-03-08 |
| 1831541812 | Gary Daniel Peterson · Danny Peterson | Anesthesiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-07-01 |
Please provide details on BEVERLY A PETERSON by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| 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.