DR. JEANNE YONG-TAI PETERSON (NPI# 1588957096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588957096 |
| Entity Type | Individual |
| Full Name | DR. JEANNE YONG-TAI PETERSON |
| Credential | PHARMD |
| Practice Address |
1732 N 9th Street Rd Apt. 16 Lafayette IN 47904-5005 |
| Practice Telephone | 4259856761 |
| Mailing Telephone | 4259856761 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26023660A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114075397 | Jeanne Peterson | Psychologist | 2752 B St Unit 112, San Diego, CA 92102-1091 | 2007-01-06 |
| 1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
| 1861741480 | Jeanne Lynn Peterson | Physician Assistant | 201 S 4th Ave, Intake Provider, Phoenix, AZ 85003-2138 | 2012-08-29 |
| 1811284367 | Jeanne E. Peterson | Psychologist | 2100 Ashley Oaks Cir, Wesley Chapel, FL 33544-6416 | 2011-07-06 |
| 1346253382 | Jeanne Peterson | Physical Therapist | 8833 Gross Point Rd, Skokie, IL 60077-1859 | 2006-08-14 |
| Street Address |
1732 N 9TH STREET RD APT. 16 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390613 | Patience Bergeron | Pharmacist | 118 Keelingwood Ln, Lafayette, LA 70507-3254 | 2019-08-04 |
| 1659924439 | Le Nguyen | Pharmacist | 620 Guilbeau Rd Ste A, Lafayette, LA 70506-8709 | 2019-07-19 |
| 1730731969 | Kevin Lagrange | Pharmacist | 107 Kentville Cir, Lafayette, LA 70508-6458 | 2019-07-09 |
| 1750857926 | Spree Chisley | Pharmacist | 103 Glasgow Dr, Lafayette, LA 70508-7050 | 2018-10-15 |
| 1780162586 | Chelsie Morein Head | Pharmacist | 1630 Rue Du Belier Apt 301, Lafayette, LA 70506-6549 | 2018-08-02 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1205349784 | Natalie Schwartzel | Pharmacist | 987 S Creasy Ln, Lafayette, IN 47905-4800 | 2017-11-07 |
| 1114439320 | Angelle Marie Voinche | Pharmacist | 5000 Ambassador Caffery Pkwy Bldg 3 Ste B, Lafayette, LA 70508-6984 | 2017-10-27 |
| 1245680743 | Kaleab Alamrew | Pharmacist | 1701 Ambassador Caffery Pkwy, Lafayette, LA 70506-2803 | 2016-06-15 |
| 1003285677 | Philip Asare | Pharmacist | 2517 Kaliste Saloon Rd, Lafayette, LA 70508 | 2015-09-24 |
| Find all providers in LAFAYETTE | ||||
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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.