JEREMY PETERSON (NPI# 1275083149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275083149 |
| Entity Type | Individual |
| Full Name | JEREMY PETERSON |
| Practice Address |
1412 140th Pl Ne Bellevue WA 98007-3915 |
| Mailing Address |
201 Union Ave Se Unit 204 Renton WA 98059-5182 |
| Practice Telephone | 4257477892 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043758378 | Jeremy Thomas Peterson | Physical Therapist | 104a Huffman Mill Rd, Burlington, NC 27215-5113 | 2017-02-07 |
| 1285713248 | Jeremy R Peterson | Chiropractor | 3200 Pine Lake Rd, Suite B, Lincoln, NE 68516-6035 | 2006-11-02 |
| 1528463882 | Jeremy Peterson | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2014-10-29 |
| 1336400456 | Jeremy Charles Peterson | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2012-06-05 |
| 1043413214 | Jeremy John Peterson | Family Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-06-06 |
| Street Address |
1412 140TH PL NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730250259 | Therapeutic Health Services | Counselor | 1412 140th Pl Ne, Rockwood Office Park, Bellevue, WA 98007-3915 | 2006-11-13 |
| 1205440658 | Shernell Lynn Wilkens | Student in an Organized Health Care Education/Training Program | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-09-03 |
| 1316562697 | James Oliver Randall | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-06-11 |
| 1316560915 | Michael G Skalecki | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-05-19 |
| 1871133637 | Brianna Larrabee Shinners | Student in an Organized Health Care Education/Training Program | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-01-09 |
| 1982250700 | Xaynalin Soulisack | Technician/Technologist | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-08-16 |
| 1972163244 | Elizabeth Alexandra Keiper | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-06-18 |
| 1598228702 | Cynthia Wu | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-04-13 |
| 1417420134 | Andrew Socha | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-01-04 |
| 1437645397 | Alexis A Vano | Technician, Other | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241192 | Optimum Counseling, LLC | Community/Behavioral Health | 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 | 2020-06-25 |
| 1366929762 | Consejo Couseling and Referral Service - Bellevue | Community/Behavioral Health | 13343 Bel-red Road, Suite 210, Bellevue, WA 98005-2327 | 2018-07-27 |
| 1730637695 | Timothy Shek-pui Tam | Community/Behavioral Health | 1231 116th Ave Ne Ste 800, Bellevue, WA 98004-3822 | 2016-09-20 |
| 1346627361 | Hopeful Hands Inc | Community/Behavioral Health | 16301 Ne 8th St, Bellevue, WA 98008-3992 | 2015-04-28 |
| 1104228246 | Scarlett Behavioral Services | Community/Behavioral Health | 2821 131st Pl Ne, Bellevue, WA 98005-1714 | 2014-09-19 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1881923183 | Working Choices, Inc | Community/Behavioral Health | 1611 116th Ave Ne Ste 101, Bellevue, WA 98004-3048 | 2009-12-15 |
| 1689702060 | Rainbow of Hope | Community/Behavioral Health | 2009 Franklin St, Bellevue, NE 68005-5055 | 2007-02-28 |
| 1326185844 | Coastal Treatment Services, Inc. | Community/Behavioral Health | 14730 Ne 8th St, Suite 110, Bellevue, WA 98007-4116 | 2007-01-31 |
| 1356496335 | Youth Eastside Services | Community/Behavioral Health | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2007-01-23 |
| Find all providers in BELLEVUE | ||||
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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.