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Deactivated NPI 1811132574 Deactivated / Inactive NPI Female Practitioner

Victoria Tenney Petterson

Case Manager/Care Coordinator • Everett, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Victoria Petterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 10, 2008
NPI Deactivation Date June 07, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Victoria Petterson was a registered Case Manager/Care Coordinator practicing in Everett, WA. Throughout an active medical career spanning 15 years, Victoria Petterson provided care at the practice location at 3020 RUCKER AVE until profile deactivation on 2023-06-07.

Practice Location & Contact Primary Location

Practice Address

3020 Rucker Ave

Everett, WA 982013900

Telephone 4253393519
Associated Practice Facility / Clinic
🏢 Snohomish County Facility NPI 1407854953

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Everett, WA (2132 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Linda Rethke , RN

Registered Nurse - Community Health

NPI 1013153873

Registered Nurse

Jann Marc Macarulay

Student in an Organized Health Care Education/Training Program

NPI 1063139038
Linda Persson , RD

Dietitian, Registered

NPI 1083859441

Registered Dietitian

Mara Marano-Bianco , RN, BSCN

Registered Nurse - Community Health

NPI 1124264684

Registered Nurse, BSCN

Erika Boyd , RN, BSN

Registered Nurse

NPI 1144465543

Registered Nurse, Bachelor of Science in Nursing

Debra Phillips , RN

Registered Nurse - Pediatrics

NPI 1144469875

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 07, 2023

Record deactivated on June 07, 2023

NPI Profile Active December 10, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2008

Registered at 3020 RUCKER AVE, EVERETT, WA 982013900 (Tel: 4253393519)

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Updated Business Mailing Address December 10, 2008

Registered at PO BOX 593, LYNNWOOD, WA 980460593 (Tel: 4253441345)

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Provider Name / Credentials Updated December 10, 2008

Recorded as VICTORIA PETTERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2008

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration December 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811132574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2008
Last Update: December 10, 2008
Deactivation Date: June 07, 2023

Mailing Address

Po Box 593

Lynnwood, WA 980460593

Phone: 4253441345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.