MRS. JESSICA PETERSEN (NPI# 1548621279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548621279 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA PETERSEN |
| Credential | RD, CD |
| Practice Address |
1660 S Columbian Way S-120-nfs Seattle WA 98108-1532 |
| Mailing Address |
1447 179th Pl Ne Bellevue WA 98008-3229 |
| Practice Telephone | 2067165649 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60134548 | WA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821393745 | Jessica Petersen | Physical Therapy Assistant | 8550 S 300 E Apt 3, Sandy, UT 84070-1676 | 2011-01-25 |
| 1831738517 | Jessica Lee Petersen | Registered Nurse | 3001 Maple Rd, Slayton, MN 56172-4500 | 2019-12-30 |
| 1699167254 | Jessica Marie Petersen | Physician Assistant | 500 Foothill Dr, Dept of Holistic Medicine, Salt Lake City, UT 84148-0001 | 2015-02-19 |
| 1902128887 | Jessica Lanier Petersen | Pharmacist | 1310 S Cannon Blvd, Kannapolis, NC 28083-6233 | 2010-02-19 |
| 1346480324 | Jessica Rae Petersen | Chiropractor | 4907 W 95th St, Oak Lawn, IL 60453-2503 | 2009-03-03 |
| 1629041439 | Jessica L Petersen | Occupational Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-10 |
| Street Address |
1660 S COLUMBIAN WAY S-120-NFS |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729608 | Charles H Beymer | Internal Medicine | 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 | 2005-06-13 |
| 1285235309 | Peter B Min | Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-11-04 |
| 1548860299 | Justin William Almeida | Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-30 |
| 1528667516 | Nicole Leacock | Registered Nurse | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-20 |
| 1114525664 | Melissa Anne Janke | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-15 |
| 1154928109 | Erin Schober | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-02 |
| 1144835562 | Nora Dinverno | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-09-11 |
| 1114539228 | Jessica Greenbaum | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-19 |
| 1982216420 | Clayton Daniel Kinney | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-17 |
| 1871103713 | Tara A Crouch | Psychologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| 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 |
|---|---|---|---|---|
| 1629679949 | Renewtrition, LLC | Dietitian, Registered | 4239 Evanston Ave N, Seattle, WA 98103-7206 | 2020-11-03 |
| 1144821620 | Sydney Marie Carroll | Dietitian, Registered | 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 | 2020-11-03 |
| 1679170096 | Taisha Bell | Dietitian, Registered | 300 1st Ave W Apt 303, Seattle, WA 98119-4375 | 2020-10-08 |
| 1225645427 | Virginia A Turner | Dietitian, Registered | 434 Ne 73rd St Apt 1/2, Seattle, WA 98115-5331 | 2020-09-30 |
| 1326653734 | Julie Duli Kim | Dietitian, Registered | 4220 S Trenton St, Seattle, WA 98118-4921 | 2020-09-11 |
| 1750996252 | Geneva Curry | Dietitian, Registered | 3006 Nw Market St Apt 5, Seattle, WA 98107-4222 | 2020-09-10 |
| 1679187066 | Sara C Woolcock | Dietitian, Registered | 1800 15th Ave S Unit B, Seattle, WA 98144-4214 | 2020-09-02 |
| 1275150773 | Miranda Duffy Eriksen | Dietitian, Registered | 4235 Francis Ave N Apt 204, Seattle, WA 98103-7126 | 2020-06-30 |
| 1790302610 | Clare Bawden | Dietitian, Registered | 7408 28th Ave Nw, Seattle, WA 98117-5951 | 2020-06-26 |
| 1366068744 | Tracey Kmiecik | Dietitian, Registered | 5450 Leary Ave Nw Apt 643, Seattle, WA 98107-4081 | 2020-06-22 |
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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.