REBECCA JARRATT PETERSEN (NPI# 1306403183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306403183 |
| Entity Type | Individual |
| Full Name | REBECCA JARRATT PETERSEN |
| Credential | MD |
| Practice Address |
1400 W 22nd St Sioux Falls SD 57105-1554 |
| Mailing Address |
3124 S Triple Play Ave Sioux Falls SD 57110-8811 |
| Practice Telephone | 6053225737 |
| Mailing Telephone | 6059414947 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | SD | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4400 W 69th St, Sioux Falls, SD 571088170 | 6053225737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619495108 | Rebecca Marie Petersen | Acupuncturist | 7550 France Ave S Ste 240, Edina, MN 55435-4821 | 2017-09-05 |
| 1053791954 | Rebecca J Petersen | Dentist | 8325 Seasons Parkway Suite 103, Healthpartners Woodbury Dental, Woodbury, MN 55125-3477 | 2015-06-04 |
| 1962835157 | Rebecca Petersen | Pharmacist | 770 S 400 E Apt 50, Brigham City, UT 84302-3351 | 2013-08-12 |
| 1396262226 | Rebecca Petersen | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2017-08-22 |
| 1902349947 | Rebecca Jo Petersen | Nurse Practitioner | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2016-11-23 |
| 1851666168 | Rebecca Jean Petersen | Obstetrics & Gynecology | 701 Park Ave, Mailcode P5, Department of Ob/gyn, Minneapolis, MN 55415-1623 | 2012-03-20 |
| 1205125952 | Rebecca Y. Petersen | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-04-04 |
| 1336442144 | Rebecca A Petersen | Nurse Anesthetist, Certified Registered | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2010-12-16 |
| 1124352174 | Rebecca Lee Petersen | Social Worker | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2009-09-23 |
| 1871760280 | Rebecca Prince Petersen | Surgery | 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-0001 | 2008-05-14 |
| Street Address |
1400 W 22ND ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275668493 | Frank Shin | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2007-02-21 |
| 1679184360 | Mamoon Ahmed | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-08-14 |
| 1508475054 | Shehbeet Kaur Mangat | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-07-29 |
| 1013525377 | Swaminathan Perinkulam Sathyanarayanan | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-07-22 |
| 1790300333 | Dylan R Goehner | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-06-09 |
| 1952925455 | Jordan Lynn Bormann | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-06-01 |
| 1063035749 | Aaron Albert Amundson | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-05-28 |
| 1841812146 | Ryan Paul Jones | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-05-11 |
| 1346861473 | Carol A Whitman | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-04-29 |
| 1083235386 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1851915516 | Matthew John Lommen | Student in an Organized Health Care Education/Training Program | 308 E 18th St, Sioux Falls, SD 57104-5025 | 2020-05-28 |
| 1407484603 | Tej Ishaan Mehta | Student in an Organized Health Care Education/Training Program | 7840 S Townsley Ave Unit 5, Sioux Falls, SD 57108-7604 | 2020-04-01 |
| 1508497678 | Heather Joy Abels | Student in an Organized Health Care Education/Training Program | 3812 E Shepherd St, Sioux Falls, SD 57103-8615 | 2020-01-28 |
| 1518421155 | Ali Xiaoxing Hoffman | Student in an Organized Health Care Education/Training Program | 3700 S Slaten Park Dr, Sioux Falls, SD 57103-4633 | 2019-01-28 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1184079352 | Valerie Norris | Student in an Organized Health Care Education/Training Program | 1305 W 18th St # 5039, Sioux Falls, SD 57105-0401 | 2016-04-25 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on REBECCA JARRATT PETERSEN.
| 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.