CAROLYN EVELYN PETERSON (NPI# 1891383287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891383287 |
| Entity Type | Individual |
| Full Name | CAROLYN EVELYN PETERSON |
| Gender | Female |
| Credential | HOME HEALTH AIDE |
| Practice Address | 3016 Martin Luther Kinng Jr. Ave Se Washington DC 20032 |
| Practice Telephone | 2023730330 |
| Mailing Address | 3565 Stanton Rd Se Washington DC 20020-2219 |
| Mailing Telephone | 2408177259 |
| Certification Date | 2021-01-02 |
| Enumeration Date | 2021-01-01 |
| Last Update Date | 2021-01-18 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | HHA15472 | DC | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3016 Maartin Luther Kinng Jr. Ave Se, Washington, DC 20032 | 2023730330 |
| Street Address | 3016 MARTIN LUTHER KINNG JR. AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306433644 | Southern Ave Sp LLC · Livingston Place | Assisted Living Facility | 4656 Livingston Rd. Se, Washington Dc, DC 20032 | 2020-12-21 |
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician · Personal Care Attendant | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor · Addiction (Substance Use Disorder) | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor · School | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| 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 |
|---|---|---|---|---|
| 1376135020 | Rejalitta Delise Evans | 1106 21st St Ne Apt 107, Washington, DC 20002-3154 | 2021-02-04 | |
| 1730770645 | Davon Deandre Mccray | 4638 H St Se Apt 217, Washington, DC 20019-4987 | 2021-02-02 | |
| 1841880580 | Marktwann Jennings | 3427 22nd St Se, Washington, DC 20020-6147 | 2021-01-26 | |
| 1659960250 | Mary Akuforgwe | 5184 Eastern Ave Ne, Washington, DC 20011-2771 | 2021-01-18 | |
| 1558959676 | Lydia Ferguson I | 816 Decatur St Nw, Washington, DC 20011-4512 | 2021-01-05 | |
| 1427646553 | Ricky Vonwergers | 2429 Good Hope Rd Se, Washington, DC 20020-3403 | 2021-01-05 | |
| 1265020572 | Lajaun Z Scott | 5614 Clay Pl Ne, Washington, DC 20019-6758 | 2021-01-04 | |
| 1114514445 | Kevin Lee Smith Sr. | 2 M St Ne Apt 524, Washington, DC 20002-3985 | 2020-12-21 | |
| 1982290185 | Marguerite Subine Nnoke | 4660 Martin Luther King Jr Ave Sw Apt A902, Washington, DC 20032-4971 | 2020-12-12 | |
| 1649876384 | Diamond Antoinette White | 4714 B St Se, Washington, DC 20019-5132 | 2020-12-08 | |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821196015 | Carolyn Margaret Evelyn Shreck · Carolyn Margaret Evelyn Mankiewicz | Dentist · Endodontics | 37 Epping Street, Raymond, NH 03077 | 2006-09-20 |
| 1306809520 | Evelyn Peterson · Lyn Peterson | Pediatrics · Neonatal-Perinatal Medicine | 350 Sunnyview Ln, Kalispell, MT 59901-3129 | 2006-04-10 |
| 1477535334 | Carolyn G Peterson · Carolyn G Edel | Physician Assistant | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-16 |
| 1750792669 | Carolyn M Peterson · Carolyn M Litchman | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 304, Portland, OR 97224-7258 | 2014-05-13 |
| 1760007868 | Evelyn M Lee | Physical Therapist | 2900 W Peterson Ave, Chicago, IL 60659-3818 | 2020-06-15 |
| 1235554312 | Evelyn Mae Peterson Hetherington | Physical Therapy Assistant | 300 E Main St, Hummelstown, PA 17036-1725 | 2014-02-26 |
| 1053852905 | Evelyn Birgitta Peterson | Massage Therapist | 405 E 14th Ave, 8, Eugene, OR 97401-4282 | 2017-03-11 |
| 1578797411 | Tania Evelyn Peterson | Physical Therapy Assistant | 909 Meridian St S, Puyallup, WA 98371-6908 | 2009-05-06 |
| 1447590955 | Britt Evelyn Peterson | Registered Nurse · Addiction (Substance Use Disorder) | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2013-02-20 |
| 1497712343 | Carolyn Evelyn Brunner | Social Worker · Clinical | 3009 Holmes Ave, Minneapolis, MN 55408-2628 | 2006-04-26 |
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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.