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MISS MCKINZIE MADISON PETERSON CONTINUING BA
NPI 1134899925
Student in an Organized Health Care Education/Training Program in Spokane, WA

Active since September 14, 2021
2118 E SPRAGUE AVE, SPOKANE, WA 99202(509) 838-4651 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Mckinzie Madison Peterson Continuing Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MCKINZIE MADISON PETERSON CONTINUING BA (NPI 1134899925) is an individual student in an organized health care education/training program in Spokane, Washington and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1134899925
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS MCKINZIE MADISON PETERSONCredential: CONTINUING BA
Location Address2118 E SPRAGUE AVESpokane, WA 99202-3125
Mailing Address2118 E Sprague AveSpokane, WA 99202-3125 · (509) 838-4651
Phone(509) 838-4651
Sole ProprietorNo
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1134899925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2118 E SPRAGUE AVE, Spokane, WA 99202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK STEPHEN DAWSON
Technician
2118 E SPRAGUE AVE
SPOKANE, WA 99202
Spokane County (509) 838-4651
ANGEL KNOLES MA
Counselor (Mental Health)
2118 E SPRAGUE AVE
SPOKANE, WA 99202
Spokane County (509) 838-4651
JORDYN L FINLEY MSW
Counselor
2118 E SPRAGUE AVE
SPOKANE, WA 99202
Spokane County (509) 838-4651
JONATHAN EATHERLY
Social Worker
2118 E SPRAGUE AVE
SPOKANE, WA 99202
Spokane County (509) 838-4651
JOSHUA A WAVRA
Counselor
2118 E SPRAGUE AVE
SPOKANE, WA 99202
Spokane County (509) 838-4651
ANJA NICOLE KHOMA MA
Counselor (Mental Health)
2118 E SPRAGUE AVE
SPOKANE, WA 99202
Spokane County (509) 838-4651
EMMA JANE WERNER MS
Counselor
2118 E SPRAGUE AVE
SPOKANE, WA 99202
Spokane County (509) 838-4651
ALEXANDRA LACY CRAVENS MSW, LICSW
Social Worker (Clinical)
2118 E SPRAGUE AVE
SPOKANE, WA 99202
Spokane County (509) 838-4651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckinzie Peterson's NPI number?

The NPI number for Mckinzie Peterson is 1134899925. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Mckinzie Peterson located?

Mckinzie Peterson practices at 2118 E Sprague Ave, Spokane, WA 99202. The listed phone number is (509) 838-4651.

What is Mckinzie Peterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mckinzie Peterson was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.