JEANNE LYNN PETERSON (NPI# 1861741480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861741480 |
| Entity Type | Individual |
| Full Name | JEANNE LYNN PETERSON |
| Credential | P.A.-C |
| Practice Address |
201 S 4th Ave Intake Provider Phoenix AZ 85003-2138 |
| Mailing Address |
201 S 4th Ave Phoenix AZ 85003-2138 |
| Practice Telephone | 6028769124 |
| Practice Fax Number | 6022533431 |
| Mailing Telephone | 6028769124 |
| Mailing Fax Number | 6022533431 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5187 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588957096 | Jeanne Yong-tai Peterson | Pharmacist | 1732 N 9th Street Rd, Apt. 16, Lafayette, IN 47904-5005 | 2011-05-17 |
| 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 |
| 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 |
201 S 4TH AVE INTAKE PROVIDER |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144493719 | Rachel Nechtman | Physician Assistant | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2008-04-03 |
| 1104391382 | Bindu Kanaka | Registered Nurse | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2018-10-03 |
| 1902356280 | Bonnie Coralie Payne | Physician Assistant | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2016-10-10 |
| 1841643277 | Lillian L Espinoza | Social Worker | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2016-07-21 |
| 1346692290 | Amy Elizabeth Rust | Specialist/Technologist | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2016-07-04 |
| 1265839013 | Kaylan Marie Luber | Physician Assistant | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2014-11-21 |
| 1124462759 | Megan K Viall | Counselor | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2013-04-25 |
| 1619138088 | Richard David Friedman | Internal Medicine | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.