KATHERINE PETERSEN SHIFT SUPERVISOR
NPI 1861786469
Case Manager/Care Coordinator in Benton, AR

Q: What is Katherine Petersen's NPI number?

The NPI number for Katherine Petersen is 1861786469. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Q: What is Katherine Petersen's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since June 01, 2011

1502 MARY KAY BLVD, BENTON, AR 72015(501) 315-3344 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katherine Petersen Shift Supervisor NPPES

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

KATHERINE PETERSEN SHIFT SUPERVISOR (NPI 1861786469) is an individual case manager/care coordinator provider in Benton, Arkansas and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1861786469

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKATHERINE PETERSENCredential: SHIFT SUPERVISOR

Location Address1502 MARY KAY BLVDBenton, AR 72015-8909

Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344

Phone(501) 315-3344

Sole ProprietorNo

Enumeration DateJune 1, 2011

Last NPPES UpdateMay 26, 2016

✔ NPI 1861786469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1502 MARY KAY BLVD, Benton, AR 72015

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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.

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