JODI PETERSON (NPI# 1659767184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659767184 |
| Entity Type | Individual |
| Full Name | JODI PETERSON |
| Practice Address |
1195 Nw Wall St Bend OR 97703-1965 |
| Mailing Address |
3995 Marcola Rd Springfield OR 97477-7948 |
| Practice Telephone | 5417280062 |
| Mailing Telephone | 5417261465 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710736 | Jodi Peterson | Nurse Practitioner | 7600 S Minnesota Ave Ste 201, Sioux Falls, SD 57108-2988 | 2020-11-08 |
| 1952969073 | Jodi Peterson | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2019-06-04 |
| 1831575745 | Jodi Lynn Peterson | Physician Assistant | 1101 N 27th St, Ste 101, Billings, MT 59101-0100 | 2015-08-03 |
| 1831479799 | Jodi Elson Peterson | Marriage & Family Therapist | 425 W Bonita Ave, Suite 204, San Dimas, CA 91773-2541 | 2011-08-24 |
| 1942440763 | Jodi M Peterson | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2009-03-06 |
| 1851580658 | Jodi Sandra Peterson | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2007-10-17 |
| Street Address |
1195 NW WALL ST |
| City | BEND |
| State | OR |
| Zip Code | 97703-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023322690 | The Northstar Center | Substance Abuse Rehabilitation Facility | 1195 Nw Wall St, Bend, OR 97701-1965 | 2010-08-05 |
| 1306302922 | Ursula S Hartman | Counselor | 1195 Nw Wall St, Bend, OR 97703-1965 | 2019-02-19 |
| 1457831802 | Deborah Taylor | Counselor | 1195 Nw Wall St, Bend, OR 97703-1965 | 2018-08-15 |
| 1366922718 | Amy Yvonne Forconi-beach | Counselor | 1195 Nw Wall St, Bend, OR 97703-1965 | 2018-08-15 |
| 1871071373 | Brooke Caroline Collins | Counselor | 1195 Nw Wall St, Bend, OR 97703-1965 | 2018-08-06 |
| 1770079162 | Stephanie Ann Bryan | Counselor | 1195 Nw Wall St, Bend, OR 97703-1965 | 2018-07-09 |
| 1528597382 | Shannon Kathleen Pugerude | Counselor | 1195 Nw Wall St, Bend, OR 97703-1965 | 2017-06-06 |
| 1538600663 | Sara Beth Feley | Marriage & Family Therapist | 1195 Nw Wall St, Bend, OR 97703-1965 | 2017-03-08 |
| 1093174344 | Elizabeth Chambers | Counselor | 1195 Nw Wall St, Bend, OR 97703-1965 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1740897511 | Steve Nathanial Harper | Counselor | 1354 Nw Ithaca Ave, Bend, OR 97703-2223 | 2020-09-25 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1962028928 | Elizabeth Kay Grotsky | Counselor | 1900 Ne Division St Ste 201, Bend, OR 97701-3572 | 2020-06-24 |
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
| 1932723863 | Chloe Hallock | Counselor | 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 | 2020-06-06 |
| 1275153983 | Riverbend Family Counseling | Counselor | 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 | 2020-04-22 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1497391197 | Mountain Equinox LLC | Counselor | 1554 Ne 4th St, Bend, OR 97701-4240 | 2019-11-18 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on JODI PETERSON.
| 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.