JESSE PETERSON (NPI# 1235259946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235259946 |
| Entity Type | Individual |
| Full Name | JESSE PETERSON |
| Credential | LAC |
| Practice Address |
2151 Hamline Ave N Ste 108 Roseville MN 55113-4226 |
| Mailing Address |
2151 Hamline Ave N Suite 108 Roseville MN 55113-4236 |
| Practice Telephone | 6122429630 |
| Mailing Telephone | 6122429630 |
| Mailing Fax Number | 6516366110 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1333 | MN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457996910 | Jesse Frederick Peterson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2019-11-08 |
| 1144695487 | Jesse Peterson | Pharmacist | 2530 Chicago Ave, Suite 270, Minneapolis, MN 55404-4289 | 2015-12-12 |
| 1174642136 | Jesse Peterson | Physical Therapy Assistant | 222 S Riverside Plz Ste 830, Chicago, IL 60606-5900 | 2007-03-28 |
| Street Address |
2151 HAMLINE AVE N STE 108 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265552962 | Eastern Health Inc | Acupuncturist | 2151 Hamline Ave N Ste 108, Roseville, MN 55113-4226 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052965 | Cheryl Boston | Acupuncturist | 151 N Sunrise Ave Ste 815, Roseville, CA 95661-2928 | 2018-05-01 |
| 1225549926 | Melissa Marina Wilson | Acupuncturist | 151 N Sunrise Ave Ste 819, Roseville, CA 95661-2928 | 2017-10-20 |
| 1699158469 | Linda Banh | Acupuncturist | 9077 Foothills Blvd, Ste 200, Roseville, CA 95747-5149 | 2015-06-29 |
| 1891173191 | Sonora Park | Acupuncturist | 3144 Village Plaza Dr, Roseville, CA 95747-9009 | 2015-05-07 |
| 1073919676 | Lucy Tan | Acupuncturist | 2003 Opportunity Dr, Suite 10, Roseville, CA 95678-3008 | 2014-11-08 |
| 1689098949 | Colleen Moore Cadiz | Acupuncturist | 1396 Belmont Ln W, Roseville, MN 55113 | 2014-02-06 |
| 1255763140 | Jincheng Liu | Acupuncturist | 6726 Stanford Ranch Rd, Suite #5, Roseville, CA 95678-1900 | 2013-08-02 |
| 1659694149 | Comprehensive Health & Wellness | Acupuncturist | 2345 Rice St, Suite 203, Roseville, MN 55113-3741 | 2010-03-11 |
| 1902097454 | Noriko Nagato | Acupuncturist | 300 Judah St, Roseville, CA 95678-2610 | 2007-08-08 |
| 1962624239 | Alyssa Marie Peterson | Acupuncturist | 2151 Hamline Ave #108, Roseville, MN 55113-4236 | 2007-05-03 |
| Find all providers in ROSEVILLE | ||||
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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.