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Amanda D Petersen, PA-C

Medical Physician Assistant in Kennewick, WA · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528391372

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Registry record

Entity type Individual (Type 1)
Name Amanda D Petersen
Credential PA-C
Sex Female
Practice address 4804 W Clearwater Ave, Kadlec Clinic Urgent Care, Kennewick, WA, 99336
Fax (509) 222-2355
Enumeration date Sep 11, 2009
Last updated in NPPES Jan 22, 2014

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PENDING (WA) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60113833 (WA) Primary

Other identifiers

Identifier Type State Issuer
1528391372 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Amanda Petersen?
The National Provider Identifier (NPI) for Amanda Petersen is 1528391372, a Type 1 (individual) record in the CMS NPPES registry.
Where does Amanda Petersen practice?
The practice location on file with NPPES is in Kennewick, WA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-22.