JASON PETERSON (NPI# 1114493673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114493673 |
| Entity Type | Individual |
| Full Name | JASON PETERSON |
| Practice Address |
1804 S Eddy St Grand Island NE 68801-7114 |
| Practice Telephone | 3083847896 |
| Practice Fax Number | 3083826802 |
| Mailing Telephone | 3083847896 |
| Mailing Fax Number | 3083826802 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225255748 | Jason M Peterson | Dentist | 1980 1st St, Idaho Falls, ID 83401-4342 | 2007-04-18 |
| 1689173056 | Jason Lee Peterson | Physical Therapy Assistant | 10857 Kuykendahl Rd Ste 120, The Woodlands, TX 77382-2936 | 2018-02-12 |
| 1760837066 | Jason Trent Peterson | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-04-25 |
| 1992825244 | Jason D Peterson | Chiropractor | 700 1st St S, Willmar, MN 56201-3504 | 2007-03-30 |
| 1073668000 | Jason R Peterson | Dietitian, Registered | 1111 6th Ave, Suite 510, Des Moines, IA 50314-2610 | 2007-01-23 |
| Street Address |
1804 S EDDY ST |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68801-7114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649443151 | Goodwill Industries of Greate Nebraska, Inc | Community/Behavioral Health | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2008-04-04 |
| 1144791369 | Lacie Wojtalewicz | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-12-16 |
| 1720553381 | Debra Schnell | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-10-10 |
| 1932695236 | Leticia Guerrero Luna | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-07-10 |
| 1437658325 | Lindsey Jordan | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-02-06 |
| 1457874752 | Aaron Kyle Ross | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2017-07-19 |
| 1225573736 | Samantha Plugge | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2016-12-20 |
| 1407301278 | Becky Wagner | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2016-08-22 |
| 1326592882 | Allison Margaret Blake | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2016-08-12 |
| 1487004495 | Tonda Nelson | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580380 | Ali Renee Meister | Massage Therapist | 114 W 3rd Street, Grand Island, NE 68801 | 2018-09-03 |
| 1033611587 | Austan Reid Pomajzl | Chiropractor | 3008 W Stolley Park Rd Suite 3, Grand Island, NE 68801 | 2018-03-01 |
| 1952849226 | Abby Kluna | Occupational Therapy Assistant | 4911 Baker Ave, Grand Island, NE 68801 | 2017-02-07 |
| 1194177386 | Elia Rivera | Counselor | 312 N Elm St Ste 112, Grand Island, NE 68801 | 2016-07-12 |
| 1710332101 | B & R Stores Inc | Pharmacy | 710 West State St, Grand Island, NE 68801 | 2016-05-04 |
| 1013332550 | Nathaniel Jones | Physical Therapy Assistant | 1405 West Highway 34, Grand Island, NE 68801 | 2014-02-20 |
| 1659455004 | Sarah Spellbrink | Counselor | 312 N Elm St Ste 115, Grand Island, NE 68801 | 2006-10-24 |
| 1356451439 | Dawn Gay Nahrstedt | Nurse Practitioner | 1300 S Locust, Ste A, Grand Island, NE 68801 | 2006-08-30 |
| 1306879275 | Bens Drug Store Inc | Pharmacy | 123 West Third, Grand Island, NE 68801 | 2006-07-07 |
| 1689631327 | Sandra Leigh Borden | Nurse Practitioner | 1300 S Locust St, Ste A, Grand Island, NE 68801 | 2006-04-27 |
| Find all providers in zip 68801 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730663618 | Samantha Hahn | Case Manager/Care Coordinator | 408 Colonial Dr, Grand Island, NY 14072-1811 | 2018-09-18 |
| 1265894307 | Corey Yamamura | Case Manager/Care Coordinator | Baseline Rd., Grand Island, NY 14072 | 2016-03-28 |
| 1265785687 | Angela Masoline Thomas | Case Manager/Care Coordinator | 13633 Sand Bluff Ln, Grand Island, FL 32735-8951 | 2012-10-23 |
| 1144791369 | Lacie Wojtalewicz | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-12-16 |
| 1720553381 | Debra Schnell | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-10-10 |
| 1932695236 | Leticia Guerrero Luna | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-07-10 |
| 1437658325 | Lindsey Jordan | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-02-06 |
| 1457874752 | Aaron Kyle Ross | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2017-07-19 |
| 1225573736 | Samantha Plugge | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2016-12-20 |
| 1407301278 | Becky Wagner | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2016-08-22 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68801 |
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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.