JESSICA PETERSON (NPI# 1295187532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295187532 |
| Entity Type | Individual |
| Full Name | JESSICA PETERSON |
| Credential | CDPT |
| Practice Address |
933 E 1st St Port Angeles WA 98362-4012 |
| Mailing Address |
2851 Lower Elwha Rd Port Angeles WA 98363-8409 |
| Practice Telephone | 3604524432 |
| Practice Fax Number | 3604524599 |
| Mailing Telephone | 3604524432 |
| Mailing Fax Number | 3604524599 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60586697 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581952 | Jessica Ann Peterson | Chiropractor | 1305 E College Dr Ste B, Marshall, MN 56258-2073 | 2018-03-14 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1669901260 | Jessica Peterson | Social Worker | 1200 W Ironwood Dr Ste 100, Coeur D Alene, ID 83814-2660 | 2017-06-07 |
| 1609265826 | Jessica Peterson | Licensed Practical Nurse | 389 W 29th Ave, Eugene, OR 97405-2726 | 2015-01-12 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| 1083043632 | Jessica Peterson | Social Worker | 5228 Cypress Ct, Shelbyville, KY 40065-7764 | 2013-11-04 |
| 1265778476 | Jessica Peterson | Nutritionist | 966 12th St Se Ste 130, Salem, OR 97302-2860 | 2012-12-14 |
| 1780829606 | Jessica Lynn Peterson | Chiropractor | 3476 3rd St Ne, Minneapolis, MN 55418-1111 | 2008-12-05 |
| 1497966238 | Jessica Ann Peterson | Social Worker | 1585 Thomas Center Dr, Ste 104, Eagan, MN 55122-3039 | 2007-05-24 |
| 1073531141 | Jessica Lynn Peterson | Chiropractor | 901 Kentucky St Ste 102, Lawrence, KS 66044-2853 | 2006-07-17 |
| Street Address |
933 E 1ST ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154495653 | Reynold Drew Donovan | Dentist | 933 E 1st St, Port Angeles, WA 98362-4012 | 2006-11-17 |
| 1184261711 | Linda Marie Wall | Dental Hygienist | 933 E 1st St, Port Angeles, WA 98362-4012 | 2019-12-02 |
| 1659925634 | Rebecca Beth Barrett | Counselor | 933 E 1st St, Port Angeles, WA 98362-4012 | 2019-07-29 |
| 1881130128 | Shayna Maria Robnett | Clinic/Center | 933 E 1st St, Port Angeles, WA 98362-4012 | 2017-01-10 |
| 1033662531 | Kaitlin Rose Rubitschun | Counselor | 933 E 1st St, Port Angeles, WA 98362 | 2016-08-01 |
| 1073966172 | Ty Mathew Boe | Counselor | 933 E 1st St, Port Angeles, WA 98362-4012 | 2016-07-13 |
| 1710359559 | Wonono L. Rubio | Counselor | 933 E 1st St, Port Angeles, WA 98362-4012 | 2015-10-20 |
| 1487042891 | Patrick Graham | Counselor | 933 E 1st St, Port Angeles, WA 98362-4012 | 2015-01-07 |
| 1942613567 | Joshua Mccool | Counselor | 933 E 1st St, Port Angeles, WA 98362-4012 | 2014-06-11 |
| 1821435918 | Anthony Allen Bush | Counselor | 933 E 1st St, Port Angeles, WA 98362-4012 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1457966418 | Mark Carl Sivesind | Counselor | 806 S Vine St, Port Angeles, WA 98362-7982 | 2020-09-15 |
| 1073085031 | Crystal Ann Oravetz | Counselor | 243613 W Highway 101, Port Angeles, WA 98363-9810 | 2018-12-31 |
| 1396217774 | Gill Martin Orr | Counselor | 221 N Race St, Port Angeles, WA 98362-3513 | 2018-12-21 |
| 1083004048 | Annette-marie Vetter | Counselor | 330 E 1st St, Port Angeles, WA 98362-3133 | 2015-01-29 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| 1275808974 | Tricia Ann Burks | Counselor | 1210 E Front St, Suite C, Port Angeles, WA 98362-4325 | 2012-03-13 |
| 1316214232 | Timothy Craig | Counselor | 834 Gunn Rd, Port Angeles, WA 98362-9575 | 2011-11-21 |
| 1700028867 | Michael Glen Ray | Counselor | 1026 East First Street, Suite 2, Port Angeles, WA 98362 | 2009-04-03 |
| 1346497708 | Gayle L Mccormick | Counselor | 3430 Hwy 101 E, Suite 10, Port Angeles, WA 98362 | 2008-08-27 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.