JACOB JOHN PETERSON (NPI# 1154939262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154939262 |
| Entity Type | Individual |
| Full Name | JACOB JOHN PETERSON |
| Credential | PHARMD |
| Practice Address |
1825 Logan Ave Waterloo IA 50703-1916 |
| Mailing Address |
4328 Paddington Dr Cedar Falls IA 50613-8917 |
| Practice Telephone | 3192353510 |
| Mailing Telephone | 3198307471 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 22766 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871515593 | Jacob Aaron Peterson | Chiropractor | 434 N Star Rd, Holmen, WI 54636-4402 | 2006-07-24 |
| 1720555055 | Jacob Peterson | Registered Nurse | 811 Madison St, Everett, WA 98203-4543 | 2018-10-24 |
| 1295196384 | Jacob Edward Peterson | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-03-16 |
| 1679954028 | Jacob Christopher Peterson | Family Medicine | 983075 Nebraska Medical Ctr, Unmc Dept. of Family Medicine, Omaha, NE 68198-3075 | 2015-06-11 |
| 1912391475 | Jacob Michael Peterson | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2015-03-23 |
| 1841600137 | Jacob Louis Peterson | Case Manager/Care Coordinator | 5667 S Redwood Rd, Taylorsville, UT 84123-5433 | 2014-05-07 |
| 1235249442 | Jacob R Peterson | Anesthesiologist Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-08-30 |
| Street Address |
1825 LOGAN AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680130 | Jeffrey David Wilkins | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2005-09-22 |
| 1922614379 | Jade Marie Kalina | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-09-21 |
| 1942818877 | Julia Fifield | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-07-16 |
| 1962025767 | Abby Staudt | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-27 |
| 1083237234 | Kathryn E Soeder | Nurse Anesthetist, Certified Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-22 |
| 1871120147 | Carolyn Anna Steenhoek | Physician Assistant | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-03-25 |
| 1497387989 | Nupur Chopra Harkness | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-02-12 |
| 1750912523 | Patricia Leininger | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-30 |
| 1932739331 | Allison Katherine Bohlman | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-24 |
| 1639709033 | Carolyn Wolff | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1649670852 | Sapna Aggarwal | Dentist | 905 Franklin St, Waterloo, IA 50703 | 2014-08-26 |
| Find all providers in zip 50703 | ||||
| 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 |
|---|---|---|---|---|
| 1891395448 | Amanda Hurtt | Pharmacist | 961 N Market St Stop 1, Waterloo, IL 62298-1061 | 2020-10-31 |
| 1710599592 | Shane Cieri | Pharmacist | 570 Waterloo Geneva Rd, Waterloo, NY 13165-1240 | 2020-08-21 |
| 1386273159 | Samantha Lynn Lenzendorf | Pharmacist | N7121 Newville Rd, Waterloo, WI 53594-9534 | 2020-04-03 |
| 1548645070 | Rosie Callaghan | Pharmacist | 1929 Us Route 20, Waterloo, NY 13165-9453 | 2015-07-27 |
| 1801286612 | Dino Pitta | Pharmacist | N7421 Mulderink Ln, Waterloo, WI 53594-9437 | 2015-02-01 |
| 1255778825 | Laura J Peloquin | Pharmacist | 1825 Logan Ave Rm 551, Allen Hospital Anticoagulation Clinic, Waterloo, IA 50703-1916 | 2013-05-23 |
| 1508136201 | Mary Catherine Meier | Pharmacist | 1714 E Ridgeway Ave, Waterloo, IA 50702-3528 | 2012-01-11 |
| 1922375773 | David Calton | Pharmacist | 2027 Huntington Rd, Box 1528, Waterloo, IA 50701-6001 | 2011-11-22 |
| 1639452899 | Jane Workman Ivey | Pharmacist | 363 Ridgewood Dr, Waterloo, SC 29384-5011 | 2011-09-23 |
| 1033436993 | Amy Joleen Bucknell | Pharmacist | 146 W Dale St Ste 103, Waterloo, IA 50703-1901 | 2010-04-30 |
| Find all providers in WATERLOO | ||||
Please comment or provide details below to improve the information on JACOB JOHN PETERSON.
| 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.