JENNIFER PETERSON (NPI# 1285121988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285121988 |
| Entity Type | Individual |
| Full Name | JENNIFER PETERSON |
| Credential | APRN |
| Practice Address |
1431 Opus Pl Ste 110 Downers Grove IL 60515 |
| Mailing Address |
1431 Opus Pl Ste 110 Downers Grove IL 60515-1164 |
| Practice Telephone | 6304921965 |
| Practice Fax Number | 6304920933 |
| Mailing Telephone | 6304921965 |
| Mailing Fax Number | 6304920933 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
041369391 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.017872 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1239 Windham Pkwy, Romeoville, IL 604461608 | 6304437110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1801428065 | Jennifer R Peterson | Counselor | 808 E 7th St, Atlantic, IA 50022-1805 | 2020-02-06 |
| 1093229577 | Jennifer Catherine Peterson | Nurse Practitioner | 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 | 2017-11-20 |
| 1851796411 | Jennifer Peterson | Physical Therapist | 4509 Normandy St, Bismarck, ND 58503-5645 | 2014-10-24 |
| 1821339805 | Jennifer Peterson | Licensed Practical Nurse | 68 Howard Ln, Tonawanda, NY 14150-8125 | 2013-03-15 |
| 1740556331 | Jennifer Peterson | Massage Therapist | 14 S Dakota St, Butte, MT 59701-2003 | 2012-03-28 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1639481963 | Jennifer May Peterson | Massage Therapist | 3617 Woodland Park Ave N Apt 8, Seattle, WA 98103-7945 | 2010-07-01 |
| 1992937650 | Jennifer Christine Peterson | Occupational Therapist | 3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251 | 2009-08-13 |
| 1891963401 | Jennifer Peterson | Massage Therapist | 6424 158th Street Ct E, Puyallup, WA 98375-7410 | 2008-02-16 |
| Street Address |
1431 OPUS PL STE 110 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780989228 | Lori Lee Sonnenberg | Speech-Language Pathologist | 1431 Opus Pl Ste 110, Downers Grove, IL 60515-1164 | 2011-01-13 |
| 1881184539 | Lori L. Sonnenberg, Ltd. | Speech-Language Pathologist | 1431 Opus Pl Ste 110, Downers Grove, IL 60515-1164 | 2018-05-17 |
| 1114394343 | Frances Colley | Counselor | 1431 Opus Pl Ste 110, Downers Grove, IL 60515-1164 | 2015-08-24 |
| 1801285101 | Azizi Marshall | Counselor | 1431 Opus Pl Ste 110, Downers Grove, IL 60515-1164 | 2015-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829690 | Caroline Heuer | Nurse Practitioner | 1575 Almond Ct, Downers Grove, IL 60515-1340 | 2020-07-29 |
| 1104461045 | Erin Marie Sebo | Nurse Practitioner | 4049 Earlston Rd, Downers Grove, IL 60515-2151 | 2019-11-14 |
| 1114573193 | Toymesia N Lewis | Nurse Practitioner | 2655 Warrenville Rd, Downers Grove, IL 60515-5555 | 2019-08-14 |
| 1588157465 | Dawn Grimm | Nurse Practitioner | 930 Meadowlawn Ave, Downers Grove, IL 60516-2905 | 2018-06-14 |
| 1326557919 | Ray Victor Obaseki | Nurse Practitioner | 3030 Finley Rd Ste 140, Downers Grove, IL 60515-1179 | 2017-09-26 |
| 1720504756 | Leanne R Miller | Nurse Practitioner | 1441 Branding Ave Ste 200, Downers Grove, IL 60515-5624 | 2017-08-22 |
| 1962872622 | Diana Lynn Simmons | Nurse Practitioner | 1432 Brook Dr, Downers Grove, IL 60515-1025 | 2015-10-06 |
| 1619386562 | Tracy Daly | Nurse Practitioner | 965 Rogers St, Apt 505, Downers Grove, IL 60515-3678 | 2014-08-05 |
| 1932517372 | Jamie Wourms | Nurse Practitioner | Advocate Medical Group - Advocate Clinic Downers Grove, 1000 Ogden Ave, Downers Grove, IL 60515-2803 | 2014-07-29 |
| 1164776688 | Nicole Ann Schwab | Nurse Practitioner | 3825 Highland Ave Suite 2b, Downers Grove, IL 60515 | 2012-11-06 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on JENNIFER 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.