JORDAN PETERSON (NPI# 1124650171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124650171 |
| Entity Type | Individual |
| Full Name | JORDAN PETERSON |
| Practice Address |
509 University Dr Eau Claire WI 54701 |
| Mailing Address |
609 Broadway St Eau Claire WI 54703-5514 |
| Practice Telephone | 7154104077 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538170 | Jordan B Peterson | Physical Therapist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2020-08-13 |
| 1306454079 | Jordan Marie Peterson | Pharmacist | 737 W 12th St, Grafton, ND 58237-2117 | 2020-07-20 |
| 1003457466 | Jordan Matthew Peterson | Chiropractor | 103 N 1st St, Elma, WA 98541-9854 | 2019-10-07 |
| 1588129423 | Jordan Peterson | Physician Assistant | 1010 4th St Sw Ste 105, Mason City, IA 50401-2856 | 2019-02-05 |
| 1407396476 | Jordan Peterson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-02-24 |
| 1609325828 | Jordan Peterson | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2016-09-28 |
| 1851847578 | Jordan Peterson | Psychologist | 500 South Navajo Drive, Page, AZ 86040 | 2016-09-01 |
| 1306228366 | Jordan Dane Peterson | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1861767469 | Jordan Anne Peterson | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2012-03-14 |
| Street Address |
509 UNIVERSITY DR |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1679033146 | Katelyn Ruhde | Specialist/Technologist | 509 University Dr, Eau Claire, WI 54701 | 2019-03-21 |
| 1457810574 | Dalton J Dowd | Specialist/Technologist | 509 University Dr, Eau Claire, WI 54701 | 2019-03-18 |
| 1407314495 | Hannah Geisler | Specialist/Technologist | 509 University Dr, Eau Claire, WI 54701 | 2019-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| 1912282153 | Carolyn J Johnson | Pharmacist | 3184 London Rd, Eau Claire, WI 54701 | 2011-10-19 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576933 | Sonam Bansal | Student in an Organized Health Care Education/Training Program | 6377 Prairie Cir S, Eau Claire, WI 54701-6792 | 2020-07-31 |
| 1982229019 | Kaitlin Joyce Hollister | Student in an Organized Health Care Education/Training Program | 5983 N Shore Dr, Eau Claire, WI 54703-2079 | 2020-06-15 |
| 1417572827 | Marcus Wollak | Student in an Organized Health Care Education/Training Program | 4015 Damon Ct, Eau Claire, WI 54701-3035 | 2020-06-11 |
| 1376181339 | Grace Erickson | Student in an Organized Health Care Education/Training Program | 1325 State St, Eau Claire, WI 54701-4071 | 2019-12-20 |
| 1528517943 | Taylor Krugh | Student in an Organized Health Care Education/Training Program | 7087 Pipestone Rd, Eau Claire, MI 49111-9723 | 2016-09-27 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1952752578 | Francis Eliot Herzog | Student in an Organized Health Care Education/Training Program | 3351 Westover Ln, Eau Claire, WI 54701-7172 | 2016-06-24 |
| 1538547245 | Adam Gregory Estabrooks | Student in an Organized Health Care Education/Training Program | 916 S Barstow St, Eau Claire, WI 54701-3866 | 2015-05-13 |
| 1417577610 | Samantha Vouyiouklis | Student in an Organized Health Care Education/Training Program | 617 W Clairemont Ave, Eau Claire, WI 54701-6223 | 2020-04-17 |
| 1427678614 | Danash Raja | Student in an Organized Health Care Education/Training Program | 617 W Clairemont Ave, Eau Claire, WI 54701-6223 | 2020-04-17 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on JORDAN 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.