JESSE PETERSON (NPI# 1144695487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144695487 |
| Entity Type | Individual |
| Full Name | JESSE PETERSON |
| Credential | PHARM.D. |
| Practice Address |
2530 Chicago Ave Suite 270 Minneapolis MN 55404-4289 |
| Practice Telephone | 6128135922 |
| Mailing Telephone | 6128135922 |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2015-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 122348 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235259946 | Jesse Peterson | Acupuncturist | 2151 Hamline Ave N Ste 108, Roseville, MN 55113-4226 | 2007-03-29 |
| 1457996910 | Jesse Frederick Peterson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2019-11-08 |
| 1174642136 | Jesse Peterson | Physical Therapy Assistant | 222 S Riverside Plz Ste 830, Chicago, IL 60606-5900 | 2007-03-28 |
| Street Address |
2530 CHICAGO AVE SUITE 270 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816505 | Children's Respiratory & Critical Care Specialists. P.a. | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4570 | 2005-07-26 |
| 1104364116 | Hadi Mohseni-bod | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4289 | 2017-02-09 |
| 1427406453 | Kali Juliette | Genetic Counselor, MS | 2530 Chicago Ave, Specialty Center Genetics, Suite 560, Minneapolis, MN 55404-4289 | 2016-05-31 |
| 1760843825 | Geoffrey Beek | Genetic Counselor, MS | 2530 Chicago Ave, Suite 560, Minneapolis, MN 55404-4289 | 2016-03-16 |
| 1861880874 | Teresa Marie Herriage | Nurse Practitioner | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2014-12-27 |
| 1720496789 | Carolyn Louise Hanna | Physician Assistant | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2014-07-22 |
| 1114347499 | Razaan Nadiya Byrne | Pediatrics | 2530 Chicago Ave, Suite 390, Minneapolis, MN 55404-4289 | 2014-04-24 |
| 1437571833 | Anna Alyse Essendrup | Genetic Counselor, MS | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2014-01-20 |
| 1083043442 | Chelsea Kimlinger | Audiologist | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2013-11-06 |
| 1215379888 | Sara Ann Bryan | Nurse Practitioner | 2530 Chicago Ave, Suite 550, Minneapolis, MN 55404 | 2013-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302426 | Jacob Hansen | Pharmacist | 711 Kasota Ave Se Ste A, Minneapolis, MN 55414-2842 | 2020-10-07 |
| 1871106211 | Victor Tam | Pharmacist | 6411 Newton Ave S, Minneapolis, MN 55423-1115 | 2020-08-25 |
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1942818711 | Danielle Morgan | Pharmacist | 2525 Chicago Ave Ste 32-1667, Minneapolis, MN 55404-4518 | 2020-07-17 |
| 1407477748 | Amy Anderson | Pharmacist | 2101 Kennedy St Ne, Minneapolis, MN 55413-2606 | 2020-04-28 |
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1093335630 | Emebeat A Tibebu | Pharmacist | 818 Washington Ave Se, Minneapolis, MN 55414-3035 | 2020-04-23 |
| 1922634252 | Nkuti Ndely | Pharmacist | 1300 W Lake St, Minneapolis, MN 55408-7200 | 2020-03-18 |
| 1174170229 | Rebeca Reyes Salaman | Pharmacist | 4555 Upton Ave N, Minneapolis, MN 55412-1047 | 2019-08-23 |
| 1003462540 | Louise Ballam Peterson | Pharmacist | 2801 Nicollet Ave, Minneapolis, MN 55408-2329 | 2019-08-12 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.