DR. JESSICA LYNN PETERSON (NPI# 1093331126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093331126 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LYNN PETERSON |
| Credential | ND, LAC |
| Practice Address |
1139 Joliet St Dyer IN 46311-1926 |
| Mailing Address |
10653 Millard Dr Saint John IN 46373-9150 |
| Practice Telephone | 2196417359 |
| Mailing Telephone | 7087121097 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 84000210A | IN | Other Service Providers |
| N | 175F00000X | Naturopath | 099.0134092 | VT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581952 | Jessica Ann Peterson | Chiropractor | 1305 E College Dr Ste B, Marshall, MN 56258-2073 | 2018-03-14 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1669901260 | Jessica Peterson | Social Worker | 1200 W Ironwood Dr Ste 100, Coeur D Alene, ID 83814-2660 | 2017-06-07 |
| 1609265826 | Jessica Peterson | Licensed Practical Nurse | 389 W 29th Ave, Eugene, OR 97405-2726 | 2015-01-12 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| 1083043632 | Jessica Peterson | Social Worker | 5228 Cypress Ct, Shelbyville, KY 40065-7764 | 2013-11-04 |
| 1265778476 | Jessica Peterson | Nutritionist | 966 12th St Se Ste 130, Salem, OR 97302-2860 | 2012-12-14 |
| 1780829606 | Jessica Lynn Peterson | Chiropractor | 3476 3rd St Ne, Minneapolis, MN 55418-1111 | 2008-12-05 |
| 1497966238 | Jessica Ann Peterson | Social Worker | 1585 Thomas Center Dr, Ste 104, Eagan, MN 55122-3039 | 2007-05-24 |
| 1073531141 | Jessica Lynn Peterson | Chiropractor | 901 Kentucky St Ste 102, Lawrence, KS 66044-2853 | 2006-07-17 |
| Street Address |
1139 JOLIET ST |
| City | DYER |
| State | IN |
| Zip Code | 46311-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861651663 | Jason Andrew Wilson | Acupuncturist | 1139 Joliet St, Dyer, IN 46311-1926 | 2008-06-05 |
| 1578170486 | Continuim Wellness, LLC. | Clinic/Center | 1139 Joliet St, Dyer, IN 46311-1926 | 2020-09-24 |
| 1710203039 | Alternative Healing Works | Acupuncturist | 1139 Joliet St, Dyer, IN 46311-1926 | 2010-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861651663 | Jason Andrew Wilson | Acupuncturist | 1139 Joliet St, Dyer, IN 46311-1926 | 2008-06-05 |
| 1710203039 | Alternative Healing Works | Acupuncturist | 1139 Joliet St, Dyer, IN 46311-1926 | 2010-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103655 | Jordan Van Tress | Acupuncturist | 12115 Princewood Ct, Fishers, IN 46037-3944 | 2020-08-05 |
| 1144846338 | Brett Michael Willis | Acupuncturist | 416 S 12th St, New Castle, IN 47362-4632 | 2020-06-23 |
| 1427600600 | Alexander Brenneman | Acupuncturist | 4721 N Wheeling Ave, Muncie, IN 47304-1222 | 2019-07-09 |
| 1134689029 | East West Accupunture, Inc. | Acupuncturist | 357 S Landmark Ave, Bloomington, IN 47403-5002 | 2019-03-25 |
| 1235602855 | Jill Marie Schimmelpfennig | Acupuncturist | 357 S Landmark Ave Ste B, Bloomington, IN 47403-5002 | 2019-01-07 |
| 1194213116 | Snyder Family Chiropractic, LLC | Acupuncturist | 14425 Leo Rd, Leo, IN 46765 | 2018-04-25 |
| 1255849915 | East Wind Wellness Incorporated | Acupuncturist | 9501 Indianapolis Blvd Ste 1a, Highland, IN 46322-2664 | 2018-01-16 |
| 1396267670 | Emily Paquette | Acupuncturist | 65 E Cedar St Ste 4, Zionsville, IN 46077-1563 | 2017-07-08 |
| 1740737188 | Kaitlan Downes | Acupuncturist | 1315 W 86th St, Indianapolis, IN 46260-2199 | 2016-09-01 |
| 1396109542 | Melissa Marin | Acupuncturist | 8002 N Pennsylvania St, Indianapolis, IN 46240-2563 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
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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.