DR. JENNIFER JILL PETERSEN (NPI# 1124180104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124180104 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER JILL PETERSEN |
| Credential | D.C. |
| Practice Address |
20730 Holyoke Ave Suite 34 Lakeville MN 55044 |
| Mailing Address |
Po Box 154 Lakeville MN 55044-0154 |
| Practice Telephone | 9524696016 |
| Practice Fax Number | 9524694017 |
| Mailing Telephone | 9524696016 |
| Mailing Fax Number | 9524694017 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3661 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506353 | Jennifer S Petersen | Specialist | 266 Rintin St, Franklin Square, NY 11010-3406 | 2019-09-04 |
| 1740705003 | Jennifer Marie Petersen | Nurse Practitioner | 1892 Bassett Rd, Westlake, OH 44145-1909 | 2017-08-08 |
| 1891236550 | Jennifer Petersen | Counselor | 103 Enterprise Dr, Warsaw, IN 46580-1204 | 2017-03-14 |
| 1417308578 | Jennifer Mary Petersen | Licensed Practical Nurse | 417 Grove St, Sullivan, WI 53178-9770 | 2016-06-29 |
| 1013311398 | Jennifer Petersen | Counselor | 4213 Durango Pl, Fort Collins, CO 80526-4103 | 2014-10-15 |
| 1558669523 | Jennifer L Petersen | Speech-Language Pathologist | 53 Bedford Ave, Middletown, NY 10940-6414 | 2011-03-01 |
| 1265586812 | Jennifer L Petersen | Specialist/Technologist | 1256 Bark Rd, Magnolia, OH 44643 | 2007-01-22 |
| 1841279890 | Jennifer Lynn Petersen | Chiropractor | 128 6th Ave S, Clinton, IA 52732-4103 | 2006-01-10 |
| 1073037982 | Jennifer Suzanne Petersen | Registered Nurse | 5930 S 58th St Ste W, Lincoln, NE 68516-3653 | 2017-08-01 |
| 1265823058 | Jennifer Petersen | Pharmacy Technician | 301 Park Dr, Owatonna, MN 55060-5639 | 2015-02-15 |
| Street Address |
20730 HOLYOKE AVE SUITE 34 |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780009852 | Waves of Change Counseling Services, LLC | Community/Behavioral Health | 20730 Holyoke Ave, Suite 137, Lakeville, MN 55044-9826 | 2014-02-26 |
| 1710163852 | Integra Home Care, Inc. | Home Health | 20730 Holyoke Ave, Suite 125, Lakeville, MN 55044-9826 | 2008-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509260 | Gregory Michael Freitag | Chiropractor | 20908 Independence Ave, Lakeville, MN 55044-5879 | 2020-05-07 |
| 1295366888 | Integrate Chiropractic Pllc | Chiropractor | 20520 Keokuk Ave # Ll30, Lakeville, MN 55044-6083 | 2020-01-31 |
| 1740832963 | Tyler Van Steenbergen | Chiropractor | 9 Sharon Rd, Lakeville, CT 06039-2107 | 2019-07-09 |
| 1659937076 | Enlighten Chiropractic PC | Chiropractor | 20772 Holyoke Ave, Lakeville, MN 55044-9824 | 2019-05-10 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1679098172 | Align Chiropractic Pa | Chiropractor | 16301 Kenrick Ave, Lakeville, MN 55044-8494 | 2017-08-07 |
| 1235549106 | Gregory Alan Roberts | Chiropractor | 20153 Holister Ln, Lakeville, MN 55044-6866 | 2014-05-01 |
| 1609112622 | Brittany Ann Domier | Chiropractor | 10440 185th St W Ste 300, Lakeville, MN 55044-6681 | 2012-12-19 |
| 1811244288 | Christine Kay Bartholomew | Chiropractor | 9202 202nd St W Ste 203, Lakeville, MN 55044-7918 | 2012-08-05 |
| Find all providers in LAKEVILLE | ||||
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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.