JESSICA PETERSON (NPI# 1578014726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578014726 |
| Entity Type | Individual |
| Full Name | JESSICA PETERSON |
| Credential | PHD |
| Practice Address |
600 E 5th St Fulton MO 65251-1753 |
| Practice Telephone | 5735922762 |
| Mailing Telephone | 5735922762 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2015042596 | MO | 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 |
600 E 5TH ST |
| City | FULTON |
| State | MO |
| Zip Code | 65251-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104878792 | State of Missouri | Psychiatric Hospital | 600 E 5th St, Fulton, MO 65251-1753 | 2006-05-16 |
| 1851916944 | Barbara Borde-koufie | Nurse Practitioner | 600 E 5th St, Fulton, MO 65251-1753 | 2020-06-15 |
| 1801411301 | Jacqueline Suzette Maragh-lawrence | Nurse Practitioner | 600 E 5th St, Fulton, MO 65251-1793 | 2020-06-10 |
| 1346872306 | Steven M Edwards | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2020-02-07 |
| 1073159539 | Justin M Wiseman | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-11-20 |
| 1982240438 | Alexis Calliope Nicole Reddig | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-11-20 |
| 1194369744 | Kirsten Deming Hunter | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-11-06 |
| 1720551666 | Kayla Collier | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-01-03 |
| 1861969479 | Jennie L Brooks | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2018-11-01 |
| 1588150973 | Ashleigh Fox | Social Worker | 600 E 5th St, Fulton, MO 65251-1753 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
| Find all providers in zip 65251 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164761805 | Brighter Day Health LLC | Psychologist | 473 Law Ct, Fulton, MO 65251-4005 | 2013-01-31 |
| 1457349920 | Michael Heffernan | Psychologist | 408 N Third Street, Fulton, TX 78358 | 2005-10-10 |
| 1013539329 | Ford Wellness Training & Consulting, LLC | Psychologist | 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683 | 2020-05-08 |
| 1346872306 | Steven M Edwards | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2020-02-07 |
| 1073159539 | Justin M Wiseman | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-11-20 |
| 1194369744 | Kirsten Deming Hunter | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-11-06 |
| 1720551666 | Kayla Collier | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-01-03 |
| 1861969479 | Jennie L Brooks | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2018-11-01 |
| 1487179602 | Rebekah Antoinette Purvis | Psychologist | 600 E 5th St, Fulton, MO 65251 | 2017-08-09 |
| 1275075418 | Megan O'grady | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2016-11-04 |
| Find all providers in FULTON | ||||
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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.