SARAH J PETERSON (NPI# 1194196667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194196667 |
| Entity Type | Individual |
| Full Name | SARAH J PETERSON |
| Credential | RD |
| Practice Address |
555 E Broadway Ave Ste 201 Jackson WY 83001-8640 |
| Mailing Address |
Po Box 428 Jackson WY 83001-0428 |
| Practice Telephone | 3077397634 |
| Practice Fax Number | 3077397632 |
| Mailing Telephone | 3077397634 |
| Mailing Fax Number | 3077397632 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2016-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1016333 | WY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540794 | Sarah Peterson | Occupational Therapist | 317 N Faler Avenue, Pinedale, WY 82941 | 2020-08-25 |
| 1366008856 | Sarah Elizabeth Peterson | Social Worker | 19795 Village Office Ct, Bend, OR 97702-1922 | 2019-05-10 |
| 1851721252 | Sarah Peterson | Nurse Practitioner | 2727 W Krause Ave, Unitypoint Health, In School Health At Harrison School, Peoria, IL 61605-2906 | 2013-11-21 |
| 1215260831 | Sarah Lee Peterson | Registered Nurse | 253 Forest St, Campbellsport, WI 53010-2734 | 2009-09-14 |
| 1114174828 | Sarah Cathleen Peterson | Internal Medicine | 1450 Busch Pkwy Ste 103, Buffalo Grove, IL 60089-4541 | 2008-08-25 |
| 1063636553 | Sarah Peterson | Social Worker | 8907 Pettis Rd, Meadville, PA 16335-5875 | 2007-04-13 |
| 1669585709 | Sarah E Peterson | Specialist/Technologist | 601 Whitney Ranch B6, Henderson, NV 89014 | 2006-08-15 |
| 1912505819 | Sarah Lindsay Peterson | Social Worker | 165 E Park Ave, Niles, OH 44446-2352 | 2020-10-13 |
| 1962009480 | Sarah Peterson | Massage Therapist | 36321 Main St, Whitehall, WI 54773-9186 | 2020-10-07 |
| 1649886979 | Sarah Elizabeth Peterson | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| Street Address |
555 E BROADWAY AVE STE 201 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336124890 | Angus G Goetz IIi | Orthopaedic Surgery | 555 E Broadway Ave, Jackson, WY 83001-8640 | 2005-12-07 |
| 1013403013 | Devyn K Parnes | Physician Assistant | 555 E Broadway Ave, Jackson, WY 83001-8640 | 2018-07-03 |
| 1447785829 | Nola Peacock | Physical Therapist | 555 E Broadway Ave, Suite 113, Jackson, WY 83001-8640 | 2017-04-24 |
| 1609323302 | Calvin P Schenk | Physician Assistant | 555 E Broadway Ave, Suite 201, Jackson, WY 83001-8640 | 2016-09-09 |
| 1679994933 | Lindsay Katherine Love | Physical Therapist | 555 E Broadway Ave, Jackson, WY 83001-8640 | 2014-01-03 |
| 1588005193 | Cara Anne Sengebush | Physical Therapist | 555 E Broadway Ave, Jackson, WY 83001-8640 | 2013-07-11 |
| 1336588672 | Mountain Therapy Pllc | Counselor | 555 E Broadway Ave, Suite 216, Jackson, WY 83001-8640 | 2013-06-20 |
| 1376895169 | Patricia Drui | Speech-Language Pathologist | 555 E Broadway Ave, Suite 100, Jackson, WY 83001-8640 | 2012-10-04 |
| 1982955001 | Carol Bocker | Speech-Language Pathologist | 555 E Broadway Ave, Suite 100, Jackson, WY 83001-8640 | 2012-09-28 |
| 1093002412 | Family First Health PC | Nurse Practitioner | 555 E Broadway Ave, Ste 218, Jackson, WY 83001-8640 | 2011-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1033720081 | Allison Kay Lopeman | Dietitian, Registered | 3120 Mccain Rd, Jackson, MI 49203-2506 | 2020-08-13 |
| 1477177723 | Samantha Jo Rogers | Dietitian, Registered | 117 Vanden St Apt 303, Jackson, TN 38301-5638 | 2020-06-02 |
| 1477185817 | Debra Ann Schumer | Dietitian, Registered | 1616 County Road 318, Jackson, MO 63755-8072 | 2020-02-04 |
| 1053956847 | Tori Onita Mincemeyer | Dietitian, Registered | 2630 Old Orchard Rd, Jackson, MO 63755-3824 | 2019-11-15 |
| 1588172829 | Mary K Brighton | Dietitian, Registered | 27 S Cooks Bridge Rd Ste 2-3, Jackson, NJ 08527-2524 | 2018-01-22 |
| 1538673447 | Miriam Benedikt | Dietitian, Registered | 4 Danielle Ct, Jackson, NJ 08527-2928 | 2017-11-30 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1912431958 | Angela Raleigh | Dietitian, Registered | 955 Highway 30 W, Jackson, KY 41339-7846 | 2017-04-17 |
| 1134576267 | Candice O'hare | Dietitian, Registered | 1217 Chamberlain Dr, Jackson, MO 63755-2940 | 2016-05-18 |
| Find all providers in JACKSON | ||||
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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.