JULIA PETERSON (NPI# 1568903524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568903524 |
| Entity Type | Individual |
| Full Name | JULIA PETERSON |
| Practice Address |
1135 W Wood St Apt 1310d Decatur IL 62522-2812 |
| Mailing Address |
1135 W Wood St Apt 1310d Decatur IL 62522 |
| Practice Telephone | 7082620254 |
| Mailing Telephone | 7082620254 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696004 | Julia Peterson | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2019-12-14 |
| 1053883082 | Julia L Peterson | Occupational Therapy Assistant | 11501 Hamilton Ave, Cincinnati, OH 45231-1124 | 2019-01-02 |
| 1760989768 | Julia Eve Peterson | Student in an Organized Health Care Education/Training Program | 1411 E 31st St Fl 2, Oakland, CA 94602-1018 | 2018-04-07 |
| 1275986820 | Julia Peterson | Speech-Language Pathologist | 2050 40th Ave Ste 1, Vero Beach, FL 32960-2467 | 2016-07-19 |
| 1194032276 | Julia Peterson | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2010-09-09 |
| 1699952143 | Julia Peterson | Clinical Nurse Specialist | 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201-1718 | 2008-01-28 |
| 1346332905 | Julia Jean Peterson | Occupational Therapist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2006-09-29 |
| Street Address |
1135 W WOOD ST APT 1310D |
| City | DECATUR |
| State | IL |
| Zip Code | 62522-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
| 1588808323 | Paul D. Potter, D.d.s., Ltd | Dentist | 280 West North St, Decatur, IL 62522 | 2009-04-23 |
| 1801059100 | Melissa Ann Burnett | Dentist | 301 W North Street, Decatur, IL 62522 | 2008-07-07 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| 1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
| 1740371905 | Randy Curtis Kneezel | Dentist | 334 W Main, Decatur, IL 62522 | 2006-09-27 |
| 1457373375 | Patricia Elaine Norton | Dentist | 1099 W Wood St, Suite E, Decatur, IL 62522 | 2006-07-24 |
| 1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
| 1417408386 | Heritage Behavioral Health Center | Community/Behavioral Health | 955 N Main St, Decatur, IL 62522 | 2016-10-17 |
| 1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
| Find all providers in zip 62522 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746860 | Faith Helen Heyl | Specialist/Technologist | 1032 Parc Ln W, Decatur, GA 30033-4065 | 2020-06-29 |
| 1861039059 | Furman Harold Riley Jr. | Specialist/Technologist | 212 Ridgeland Ave, Decatur, GA 30030-2056 | 2019-12-06 |
| 1720637614 | Tisha Marie Hess | Specialist/Technologist | 2538 E Lost Bridge Rd, Decatur, IL 62521-4408 | 2019-09-04 |
| 1922566199 | Hannah Daily | Specialist/Technologist | 5969 Kentland Dr, Decatur, IL 62521-8754 | 2019-03-06 |
| 1952875171 | Adam Lucas Hotaling | Specialist/Technologist | 951 Fortenberry Rd, Decatur, TX 76234-5817 | 2019-01-22 |
| 1720569106 | Marc Anthony Lara | Specialist/Technologist | 405 N Cates St, Decatur, TX 76234-1504 | 2018-08-23 |
| 1871079442 | Jackson Randall Therrien | Specialist/Technologist | 224 Crows Nest Cir, Decatur, MS 39327-9186 | 2018-07-17 |
| 1750867776 | Derrick Wesley Jones | Specialist/Technologist | 275 W Broad St, Decatur, MS 39327-8985 | 2018-07-12 |
| 1720573447 | Jonathan Clark | Specialist/Technologist | 1214 Highland Lake Cir, Decatur, GA 30033-3460 | 2018-06-25 |
| 1811492812 | Taylor Zolecki | Specialist/Technologist | 885 W Grove Rd, Decatur, IL 62521-9058 | 2018-03-29 |
| Find all providers in DECATUR | ||||
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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.