MS. JERALYN MARLO PETERSON (NPI# 1376054338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376054338 |
| Entity Type | Individual |
| Full Name | MS. JERALYN MARLO PETERSON |
| Credential | RDH |
| Practice Address |
40520 County Highway 34 Ogema MN 56569-9612 |
| Practice Telephone | 2189834300 |
| Practice Fax Number | 2189836284 |
| Mailing Telephone | 2189834300 |
| Mailing Fax Number | 2189836284 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6077 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA HYGIENIST LICENSE | H6077 | 01 |
| Street Address |
40520 COUNTY HIGHWAY 34 |
| City | OGEMA |
| State | MN |
| Zip Code | 56569-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243118 | Melissa Lyn Wentz Opsahl | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2005-08-26 |
| 1033751474 | Monica Sue Wenschlag | Nurse Practitioner | 40520 County Highway 34, Ogema, MN 56569-9612 | 2019-10-16 |
| 1164902839 | Victoria Schmitt | Dentist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2018-08-21 |
| 1235641101 | Daniel Cox | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-10-31 |
| 1720597933 | Stephanie Lynn Tilton | Physical Therapist | 40520 County Highway 34, Ogema, MN 56569 | 2017-09-20 |
| 1588189641 | Ashley Jean Piehl | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-08-10 |
| 1255852026 | Lynette Willeto Wasson | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-07-03 |
| 1427588458 | Mohammed Alrahbi | Dentist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-06-13 |
| 1568991602 | Benjamin William Sitz | Dentist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-06-11 |
| 1831622190 | Katherine Money | Dental Hygienist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144030 | Leah Celeste Bakken | Registered Nurse | 407 East Main St, Ogema, MN 56569 | 2019-09-27 |
| 1427399237 | Kathleen Elizabeth Morris Laswell | Nurse Practitioner | 40502 Cty Hwy 34, Ogema, MN 56569 | 2013-03-05 |
| 1457639551 | White Earth Band of Ojibwe - Indian Child Welfare | Social Worker | 301 Feather Street, Ogema, MN 56569 | 2011-07-25 |
| 1053432203 | Jack Thomas Mohr | Pharmacist | Phs Indian Health Service, 40520 Co. Hwy 34, Ogema, MN 56569 | 2007-04-03 |
| 1154372050 | Patricia Ann Sniezek | Nurse Practitioner | 40520 County Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
| 1609833607 | Joanne Mittet | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-04-26 |
| 1568952752 | Jordyn Kathleen Steffes | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1942790118 | Mary Beth Simon | Radiologic Technologist | 40520 Cty Hwy 34, Ogema, MN 56569 | 2018-05-14 |
| 1780174979 | Jacqueline Lois Zortman | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1730402108 | Julie Ann Cook | Registered Nurse | 407 E Main Street, Ogema, MN 56569 | 2010-03-12 |
| Find all providers in zip 56569 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831622190 | Katherine Money | Dental Hygienist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-04-04 |
| 1508263419 | Celeste Stalberger | Dental Hygienist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2014-11-21 |
| 1265686091 | Jeri K Summers | Dental Hygienist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2008-11-06 |
| 1972778298 | Karla Schermerhorn | Dental Hygienist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440825 | Sara Marie Anderson | Dental Hygienist | 6213 Saint Croix Trl N Apt 208, Oak Park Heights, MN 55082-6967 | 2020-05-29 |
| 1760027460 | Claire Roesler | Dental Hygienist | 903 Center St W # 103, Rochester, MN 55902-6278 | 2019-11-18 |
| 1225689060 | Kylie Anderson | Dental Hygienist | 903 Center St W Ste 130, Rochester, MN 55902-6278 | 2019-09-23 |
| 1770130387 | Sandra Kay Weitemier | Dental Hygienist | 25555 Gramford Ave, Wyoming, MN 55092-9356 | 2019-08-20 |
| 1912552803 | Gabrielle Anne Yoon | Dental Hygienist | 321 Labree Ave N, Thief River Falls, MN 56701-2019 | 2019-08-07 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1619435682 | Maureen O'sullivan | Dental Hygienist | 385 S Owasso Blvd W, Roseville, MN 55113-2119 | 2019-03-07 |
| 1598237307 | Kelli Marie Fena | Dental Hygienist | 1613 Farm Rd S, Tower, MN 55790-5579 | 2018-12-19 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1053829721 | Rhonda Jean Schwalbe | Dental Hygienist | 727 4th St N, Virginia, MN 55792-2369 | 2018-01-16 |
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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.