JANE M PEDERSEN (NPI# 1154371516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154371516 |
| Entity Type | Individual |
| Full Name | JANE M PEDERSEN |
| Credential | PT |
| Practice Address |
3000 Erwin Rd Durham NC 27705-4504 |
| Mailing Address |
308 Hassellwood Dr Cary NC 27518-3013 |
| Practice Telephone | 9196982149 |
| Mailing Telephone | 9196063086 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 4397 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4397 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
4397 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 1017P | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1829 E Franklin St Ste 600, Chapel Hill, NC 275145863 | 9199683456 | |
| 107 Edinburgh South Dr, Ste 100a, Cary, NC 275116455 | 9193193649 | 9193193651 |
| 308 Hassellwood Dr, Cary, NC 27518 | 9196063086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922117621 | Jane C Pedersen | Counselor | 1075 Main Ave, Suite 214, Durango, CO 81301-5369 | 2006-08-29 |
| 1437662244 | Jane Pedersen | Psychologist | 1050 Ivy Hall Ln, Buffalo Grove, IL 60089-1333 | 2017-11-15 |
| Street Address |
3000 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835307 | Jessica Danielle Mah | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-09-14 |
| 1063022523 | Courtney J Jeffries | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-08-08 |
| 1689283087 | Lindsay Voorhees | Occupational Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-07-31 |
| 1043828759 | Bridget Anna Allan | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-07-20 |
| 1851916571 | Mona Crisp Griffis | Dietitian, Registered | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-06-09 |
| 1326662883 | Lisa Shirafuji | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-06-01 |
| 1528619319 | Amy May Collishaw | Occupational Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2019-09-24 |
| 1083264279 | Erin Elizabeth Huggins | Genetic Counselor, MS | 3000 Erwin Rd, Durham, NC 27705-4504 | 2019-09-19 |
| 1679132047 | Roseanne Erickson | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705 | 2019-06-10 |
| 1619440047 | Anna Waynick | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134526841 | B. Jeanne Cornejo | Physical Therapist | 1207 Goldenview Ct, Durham, NC 27713-8208 | 2014-11-24 |
| 1639512486 | Kristi Duke | Physical Therapist | 2327 Englewood Ave, Durham, NC 27705-4014 | 2013-04-11 |
| 1467584698 | Heidi Jo Young Hetland | Physical Therapist | 1214 Goldenview Ct, Durham, NC 27713-8207 | 2007-03-12 |
| 1063022523 | Courtney J Jeffries | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-08-08 |
| 1619440047 | Anna Waynick | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2019-01-08 |
| 1154835296 | Janice Minnich Fitch | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-11-28 |
| 1922511104 | Jennifer Edelschick | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-11-10 |
| 1366952756 | Elizabeth Katharine Dias | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-10-11 |
| 1508376419 | Kara Lardinois | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-10-05 |
| 1134639917 | Rachel Gandy | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-10-05 |
| Find all providers in DURHAM | ||||
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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.