MARY JANE PETERSON (NPI# 1851855274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851855274 |
| Entity Type | Individual |
| Full Name | MARY JANE PETERSON |
| Practice Address |
1306 11th Ave Greeley CO 80631-3835 |
| Mailing Address |
1300 N 17th Ave Greeley CO 80631-9584 |
| Practice Telephone | 9703472120 |
| Mailing Telephone | 9703472120 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314908 | Mary Jane Peterson | Chore Provider | 1126 Marianna Dr, Mansfield, OH 44903-9672 | 2020-10-21 |
| 1265963813 | Mary Peterson | Counselor | 221 Loesch Dr, Elgin, TX 78621-1101 | 2017-03-24 |
| 1598179434 | Mary Kathryn Peterson | Physical Therapist | 4690 Whipple Rd, Riverside, CA 92506-1066 | 2014-06-18 |
| 1356508675 | Mary Kathryn Peterson | Family Medicine | 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 | 2008-05-22 |
| 1457564916 | Mary Beth Peterson | Pharmacist | Hy-vee Drugstore #7026, 2001 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402 | 2007-05-08 |
| 1942429873 | Mary Ann Peterson | Physical Therapist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-04-25 |
| 1538233176 | Mary Peterson | Chiropractor | 7250 W College Dr, Suite 1sw, Palos Heights, IL 60463-1151 | 2006-11-17 |
| 1083621445 | Mary E Peterson | Nurse Practitioner | W12070 State Highway 35, Stockholm, WI 54769-6127 | 2006-08-01 |
| 1174572846 | Mary E. Peterson | Psychiatry & Neurology | 105 W 8th Ave Ste 6055, Spokane, WA 99204-2312 | 2006-05-09 |
| 1306813548 | Mary L Peterson | Social Worker | 2040 Raybrook Se, Suite 103, Grand Rapids, MI 49546 | 2006-03-07 |
| Street Address |
1306 11TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255303665 | Connie Lee Oravitz | Social Worker | 1306 11th Ave, Greeley, CO 80631-3835 | 2006-02-02 |
| 1467068379 | North Range Behavioral Health | Clinic/Center | 1306 11th Ave, Greeley, CO 80631-3835 | 2020-09-17 |
| 1326541269 | Paris Mcmanus | Case Manager/Care Coordinator | 1306 11th Ave, Greeley, CO 80631-3835 | 2018-03-16 |
| 1174053045 | Jessica Pratt | Counselor | 1306 11th Ave, Greeley, CO 80631-3835 | 2017-06-14 |
| 1801340203 | Edythe Peterson | Psychologist | 1306 11th Ave, Greeley, CO 80631-3835 | 2016-08-15 |
| 1992152425 | Danielle L Baker | Community Health Worker | 1306 11th Ave, Greeley, CO 80631-3835 | 2016-05-13 |
| 1093171779 | Ashley E Onderlinde | Community Health Worker | 1306 11th Ave, Greeley, CO 80631-3835 | 2016-01-11 |
| 1710351663 | Eric C Logan | Community Health Worker | 1306 11th Ave, Greeley, CO 80631-3835 | 2015-11-16 |
| 1023481181 | Cathy D Kellogg | Behavioral Analyst | 1306 11th Ave, Greeley, CO 80631-3835 | 2015-11-10 |
| 1508232851 | Jessica E Winger | Counselor | 1306 11th Ave, Greeley, CO 80631-3835 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739679 | Melissa L Lucero | Peer Specialist | 222 23rd Ave, Greeley, CO 80631-1854 | 2020-01-22 |
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1477194454 | Ronna Jo Wellman | Peer Specialist | 8110 River Run Dr, Greeley, CO 80634-9389 | 2019-10-01 |
| 1871052993 | Laurie Ann Jones | Peer Specialist | 1025 14th St, Greeley, CO 80631-3866 | 2019-03-18 |
| 1497356976 | Jordyn Marie Sewald-evans | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-11-03 |
| 1508465360 | Heather Marie Wilson | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-22 |
| 1326652124 | Sarah Marie Swoape | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-08-31 |
| 1104438852 | Elaina Trousil | Peer Specialist | 928 12th St, Greeley, CO 80631-4024 | 2020-08-22 |
| 1225640873 | Marissa Leigh Lucero I | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-08-17 |
| 1780295295 | Lucinda Marie Mendoza | Peer Specialist | 1309 10th Ave, Greeley, CO 80631-3832 | 2020-08-10 |
| Find all providers in GREELEY | ||||
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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.