MS. JAYNE ELLEN PEAK (NPI# 1104828276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104828276 |
| Entity Type | Individual |
| Full Name | MS. JAYNE ELLEN PEAK |
| Other Name | MRS. JAYNE ELLEN GILMORE |
| Credential | APN |
| Practice Address |
9900 Bren Road East Mail Route Mn 008-b213 Minnetonka MN 55343 |
| Mailing Address |
17015 N. 130th Ave Sun City West AZ 85375 |
| Practice Telephone | 8005610861 |
| Practice Fax Number | 5634213129 |
| Mailing Telephone | 3092693162 |
| Mailing Fax Number | 5634213129 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP7967 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1583450 | 05 | |
| IA | IOWA MIDLANDS CHOICE | 15939 | 01 |
| IA | WELLMARK BCBS | 03262 | 01 |
| IA | 2583450 | 05 |
| Street Address |
9900 BREN ROAD EAST MAIL ROUTE MN 008-B213 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720549124 | Shardai Nichole Shelton | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2019-03-28 |
| 1497268429 | Erin Watts | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343-1357 | 2017-11-13 |
| 1164943064 | Lora Lea Dosh | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2017-06-29 |
| 1851821755 | Julie Harris | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343-7918 | 2017-06-14 |
| 1174069348 | Tiffany Diane Bailey | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2017-01-12 |
| 1689124752 | Lorena C De La Rosa | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-10-12 |
| 1386193761 | Brittney Bobb | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-09-27 |
| 1497201156 | Leng Gauv | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-08-31 |
| 1902350291 | Lauren Daiuto | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-08-04 |
| 1164888046 | Kimberly D Creel | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| 1437596087 | Lisa M Rocca | Nurse Practitioner | 990 Bren Road East, Minnetonka, PA 55343 | 2013-05-22 |
| 1215224092 | Nicole Marie Jenabzadeh | Nurse Practitioner | 130 Cheshire Ln Ste 100, Minnetonka, MN 55305-0002 | 2011-06-30 |
| 1174824858 | Dawn Marie Mcglothin | Nurse Practitioner | 9900 Bren Rd E Ste 300w, Minnetonka, MN 55343-4402 | 2010-11-11 |
| 1437281433 | Leslie Christine Strath | Nurse Practitioner | Unitedhealth Group, 9900 Bren Rd E, Minnetonka, MN 55343 | 2007-03-12 |
| 1720072234 | Laura Ellen Hart | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215 Ridge Plaza, Minnetonka, MN 55305-1978 | 2005-09-12 |
| 1194720557 | Dawn M Berger | Nurse Practitioner | 9900 Bren Rd E, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2005-06-14 |
| 1467078691 | Candy Ray Jones | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2020-06-23 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55343 |
Please comment or provide details below to improve the information on MS. JAYNE ELLEN PEAK.
| 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.