JILL PETERSON (NPI# 1700107612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700107612 |
| Entity Type | Individual |
| Full Name | JILL PETERSON |
| Practice Address |
6125 N Sunshine St Coeur D Alene ID 83815 |
| Mailing Address |
213 E Miles Ave Hayden ID 83835-8204 |
| Practice Telephone | 2089644457 |
| Mailing Telephone | 2089644457 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA 60093876 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134654478 | Jill Peterson | Occupational Therapist | 914 S Jefferson St, Apt. 1, Moscow, ID 83843-3163 | 2017-04-24 |
| 1487977906 | Jill A Peterson | Pharmacist | 47-49 Lake Ave. Extension, Danbury, CT 06810 | 2010-03-11 |
| 1922153931 | Jill Ann Peterson | Psychologist | 520 N Broad St # 1, Mankato, MN 56001-3421 | 2007-01-23 |
| 1861562274 | Jill C Peterson | Psychologist | 6600 Kalanianaole Hwy., Suite 225, Honolulu, HI 96825 | 2006-11-09 |
| 1356379739 | Jill Peterson | Dentist | 906 N Fielder Rd, Arlington, TX 76012-3195 | 2006-06-28 |
| 1629074232 | Jill Christine Peterson | Emergency Medicine | 622 Washington St, Comprehensive Womens Health Services, Watertown, NY 13601-4036 | 2005-06-28 |
| 1144529850 | Jill Anne Peterson | Nurse Practitioner | 55 Fruit St, Warren 11 - Pediatric Surgery, Boston, MA 02114-2621 | 2011-03-21 |
| 1669695136 | Jill M Peterson | Psychologist | 3801 Spring St, Racine, WI 53405-1667 | 2007-04-11 |
| 1134203326 | Jill M Peterson | Family Medicine | 602 N Main St, Summerville, SC 29483-6627 | 2006-10-24 |
| Street Address |
6125 N SUNSHINE ST |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952450884 | David Thomas Aggen | Chiropractor | 6125 N Sunshine St, Coeur D Alene, ID 83815-8688 | 2007-01-09 |
| 1437390051 | David Aggen Inc. | Chiropractor | 6125 N Sunshine St, Coeur D Alene, ID 83815-8688 | 2009-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740249275 | Daryl K Maccarter | Specialist | 950 W Ironwood Dr, Coeur D Alene, ID 83814-2644 | 2006-03-22 |
| 1326034430 | Jonathan S King | Specialist | 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814-4903 | 2005-09-23 |
| 1467448860 | Lloyd E. Witham | Specialist | 1107 W Ironwood Dr, Coeur D Alene, ID 83814-2604 | 2005-09-21 |
| 1174000566 | Timothy Wayne Cork | Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-27 |
| 1952772196 | Gayle Dohrman | Specialist | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2015-10-14 |
| 1740539725 | Gregory R. Keese, M.d., P.C. | Specialist | 1107 W Ironwood Dr, Coeur D Alene, ID 83814-2604 | 2012-09-05 |
| 1619278082 | Kala Marie Moore | Specialist | 852 W Kathleen Ave, Coeur D Alene, ID 83815-9405 | 2010-11-16 |
| 1003050527 | Peter C Jones Md Pa | Specialist | 2121 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2009-04-28 |
| 1013184837 | Maryanne Kleven | Specialist | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-12 |
| 1316137862 | Gregory R Keese | Specialist | 1107 W Ironwood Dr, Coeur D Alene, ID 83814-2604 | 2007-07-31 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
Please comment or provide details below to improve the information on JILL 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.