JEANICE PETERSON (NPI# 1194374165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194374165 |
| Entity Type | Individual |
| Full Name | JEANICE PETERSON |
| Credential | LEP |
| Practice Address |
41914 50th St W Lancaster CA 93536-2963 |
| Practice Telephone | 6617220716 |
| Mailing Telephone | 6617220716 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
3666 | CA | Behavioral Health & Social Service Providers |
| Street Address |
41914 50TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982171385 | Christine Berry-krazmien | Psychologist | 24 Magrum Ln, Lancaster, NY 14086-4462 | 2018-10-24 |
| 1215189444 | Adam Dean Kehrer | Psychologist | 311 Central Ave Apt 4, Lancaster, NY 14086-1660 | 2008-10-21 |
| 1821249236 | Jessica Ann Conlon | Psychologist | 47 Cedarbrook Dr, Lancaster, NY 14086-1437 | 2008-10-03 |
| 1992789531 | Daniel J Pezzulo | Psychologist | 154 Esther Dr, Lancaster, PA 17601-2047 | 2005-12-06 |
| 1043831290 | Tamra Eastman | Psychologist | 35 Ice Pond Rd, Lancaster, NH 03584-4426 | 2020-04-29 |
| 1073096806 | Kate Boelky | Psychologist | 955 Liberty Dr, Lancaster, OH 43130-8045 | 2018-09-07 |
| 1811400252 | Veronica Salinas | Psychologist | 43845 10th St W Ste 1b, Lancaster, CA 93534-4800 | 2017-11-07 |
| 1932588324 | Sh Marie Coleman-gross | Psychologist | 345 E Mulberry St, Lancaster, OH 43130-3166 | 2015-05-19 |
| 1841682416 | Bethann Morgan | Psychologist | 955 Liberty Dr, Lancaster, OH 43130-8045 | 2015-02-19 |
| 1326441494 | Lauren Pipher | Psychologist | 345 E Mulberry St, Lancaster, OH 43130-3166 | 2014-10-03 |
| Find all providers in LANCASTER | ||||
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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.