JENNIFER KAY PETERSON (NPI# 1689882078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689882078 |
| Entity Type | Individual |
| Full Name | JENNIFER KAY PETERSON |
| Credential | CCNS |
| Practice Address |
420 Delaware St Se Minneapolis MN 55455-0341 |
| Mailing Address |
4629 Abbott Ave S Minneapolis MN 55410-1723 |
| Practice Telephone | 6122733000 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
R1065918 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1801428065 | Jennifer R Peterson | Counselor | 808 E 7th St, Atlantic, IA 50022-1805 | 2020-02-06 |
| 1093229577 | Jennifer Catherine Peterson | Nurse Practitioner | 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 | 2017-11-20 |
| 1851796411 | Jennifer Peterson | Physical Therapist | 4509 Normandy St, Bismarck, ND 58503-5645 | 2014-10-24 |
| 1821339805 | Jennifer Peterson | Licensed Practical Nurse | 68 Howard Ln, Tonawanda, NY 14150-8125 | 2013-03-15 |
| 1740556331 | Jennifer Peterson | Massage Therapist | 14 S Dakota St, Butte, MT 59701-2003 | 2012-03-28 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1639481963 | Jennifer May Peterson | Massage Therapist | 3617 Woodland Park Ave N Apt 8, Seattle, WA 98103-7945 | 2010-07-01 |
| 1992937650 | Jennifer Christine Peterson | Occupational Therapist | 3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251 | 2009-08-13 |
| 1891963401 | Jennifer Peterson | Massage Therapist | 6424 158th Street Ct E, Puyallup, WA 98375-7410 | 2008-02-16 |
| Street Address |
420 DELAWARE ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202593 | Christopher J Geisler | Physician Assistant | 420 Delaware St Se, Mmc 292; Suite Mayo B228, Minneapolis, MN 55455-0341 | 2005-08-12 |
| 1366056095 | Yuki Shima | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-09-01 |
| 1194348029 | Katarina Elizabeth Cheng | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 609, Mayo D142, Minneapolis, MN 55455 | 2020-05-27 |
| 1306469630 | Damian Hall | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-21 |
| 1538781588 | Madisen Janssen | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-13 |
| 1023639648 | Della Bro | Genetic Counselor, MS | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
| 1790306306 | Michael Gregory Michalik | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
| 1679194609 | Xiaolei Shi | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-30 |
| 1467073767 | Sergio Michael Navarro | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-28 |
| 1295356400 | Jeffrey Lane Bowers | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750759197 | Jennifer Lynn Zaremba | Clinical Nurse Specialist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891129425 | Mary Elizabeth Jaeger | Clinical Nurse Specialist | 345 Smith Ave. North, Mailstop 70-504, St. Paul, MN 55102 | 2013-08-30 |
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on JENNIFER KAY 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.