JENNIFER PETERSON (NPI# 1023537677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023537677 |
| Entity Type | Individual |
| Full Name | JENNIFER PETERSON |
| Credential | APRN-C |
| Practice Address |
1133 College Ave Ste D200 Manhattan KS 66502-2776 |
| Practice Telephone | 7855374940 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-77876-072 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | STATE LICENSE | 53-77876-072 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1801428065 | Jennifer R Peterson | Counselor | 808 E 7th St, Atlantic, IA 50022-1805 | 2020-02-06 |
| 1093229577 | Jennifer Catherine Peterson | Nurse Practitioner | 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 | 2017-11-20 |
| 1851796411 | Jennifer Peterson | Physical Therapist | 4509 Normandy St, Bismarck, ND 58503-5645 | 2014-10-24 |
| 1821339805 | Jennifer Peterson | Licensed Practical Nurse | 68 Howard Ln, Tonawanda, NY 14150-8125 | 2013-03-15 |
| 1740556331 | Jennifer Peterson | Massage Therapist | 14 S Dakota St, Butte, MT 59701-2003 | 2012-03-28 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1639481963 | Jennifer May Peterson | Massage Therapist | 3617 Woodland Park Ave N Apt 8, Seattle, WA 98103-7945 | 2010-07-01 |
| 1992937650 | Jennifer Christine Peterson | Occupational Therapist | 3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251 | 2009-08-13 |
| 1891963401 | Jennifer Peterson | Massage Therapist | 6424 158th Street Ct E, Puyallup, WA 98375-7410 | 2008-02-16 |
| Street Address |
1133 COLLEGE AVE STE D200 |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497718092 | James Gardner | Emergency Medicine | 1133 College Ave Ste D200, Manhattan, KS 66502-2776 | 2006-04-07 |
| 1316439086 | Centerpointe Physicians Pa | Family Medicine | 1133 College Ave Ste D200, Manhattan, KS 66502-2776 | 2018-05-30 |
| 1619078797 | Cary Joseph Herl | Family Medicine | 1133 College Ave Ste D200, Manhattan, KS 66502-2776 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161859 | Dara Wright | Nurse Practitioner | 711 Commons Pl, Manhattan, KS 66503-3002 | 2019-06-05 |
| 1205311677 | Lisa M Steinberg | Nurse Practitioner | 220 W North St, Manhattan, IL 60442-9743 | 2018-10-01 |
| 1588194005 | Brenna Lynne Gibson | Nurse Practitioner | 1404 Beechwood Ter Ste D, Manhattan, KS 66502-7491 | 2017-06-18 |
| 1962797266 | Sandra Lynn Adams | Nurse Practitioner | 3623 Rocky Ford Ave, Manhattan, KS 66502-7229 | 2011-06-14 |
| 1801899240 | Rosanne C Kreller | Nurse Practitioner | 1133 College Ave, Ste E230, Manhattan, KS 66502-2795 | 2005-05-31 |
| 1932102381 | Tiffany Nicole Engelken | Nurse Practitioner | 4201 Anderson Ave Ste B2, Manhattan, KS 66503 | 2005-05-31 |
| 1811497837 | Erin Elaine Spahic | Nurse Practitioner | 1440 Broadway, Manhattan, NY 10018-2301 | 2018-02-16 |
| 1902305352 | Meghan Cathlene Cummings | Nurse Practitioner | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2018-02-12 |
| 1437678695 | Kristin Lauren O'donnell | Nurse Practitioner | 1105 Sunset Ave, Manhattan, KS 66502-3739 | 2017-09-19 |
| 1417477571 | Robyn Alyssa Crane-mccallister | Nurse Practitioner | 200 Research Dr, Manhattan, KS 66503-3049 | 2017-06-20 |
| Find all providers in MANHATTAN | ||||
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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.