MR. JOSEPH EDWARD JETER (NPI# 1316956014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316956014 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH EDWARD JETER |
| Credential | PA-C, MPAS |
| Practice Address |
3911 Avenue B Suite 1100 Scottsbluff NE 69361-4617 |
| Practice Telephone | 3086302100 |
| Practice Fax Number | 3086302138 |
| Mailing Telephone | 3086302100 |
| Mailing Fax Number | 3086302138 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
355 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RR MEDICARE | 970017216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265561906 | Joseph Jeter | Counselor | 6640 Long Point Rd, Houston, TX 77055-2633 | 2007-03-05 |
| Street Address |
3911 AVENUE B SUITE 1100 |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752331 | Ernest K Bussinger | Obstetrics & Gynecology | 3911 Avenue B, Ste 3100, Scottsbluff, NE 69361-4617 | 2005-07-07 |
| 1952955247 | James Lee Buck | Specialist/Technologist | 3911 Avenue B, Scottsbluff, NE 69361-4617 | 2019-07-25 |
| 1356837181 | Hope Marie Hansen | Nurse Practitioner | 3911 Avenue B, Scottsbluff, NE 69361-4617 | 2018-07-04 |
| 1386018638 | Brooke Arleen Borgman | Nurse Practitioner | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2015-11-24 |
| 1770965642 | Susan Backer | Clinical Nurse Specialist | 3911 Avenue B, Scottsbluff, NE 69361-4617 | 2015-06-26 |
| 1053737999 | Jocelyn Mellen | Speech-Language Pathologist | 3911 Avenue B, Suite G 200, Scottsbluff, NE 69361-4617 | 2014-03-17 |
| 1710324868 | Aaron James Cisar | Family Medicine | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2013-05-30 |
| 1871939025 | Dawn Elizabeth Mckown | Physical Therapist | 3911 Avenue B, Suite G200, Scottsbluff, NE 69361-4617 | 2013-05-15 |
| 1386991636 | Susan E Schoeneman | Nurse Practitioner | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2012-08-06 |
| 1568734804 | Jade Malcolm | Nurse Practitioner | 3911 Avenue B, Suite 3100, Scottsbluff, NE 69361-4617 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1184970162 | Quick Care Medical Family Medicine | Physician Assistant | 3210 Avenue B, Scottsbluff, NE 69361-4303 | 2012-07-27 |
| 1235246547 | Trinity J Fuss | Physician Assistant | 3911 Avenue B Ste 3100, Scottsbluff, NE 69361-4617 | 2006-08-23 |
| 1477574176 | Jennie A Brehm | Physician Assistant | 3210 Avenue B, Scottsbluff, NE 69361-4336 | 2006-07-21 |
| 1528085354 | Lambert L Stiers | Physician Assistant | 3210 Avenue B, Scottsbluff, NE 69361-4336 | 2006-07-16 |
| 1528049467 | Heidi C Larson | Physician Assistant | 2 W 42nd St, Suite 1200, Scottsbluff, NE 69361-0617 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972919041 | Cherisa Anne Meyer-fletcher | Physician Assistant | 21317 Mcclellan Cir, Gretna, NE 68028-3962 | 2014-07-09 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1639308893 | Lisa C Degen | Physician Assistant | 2116 W Faidley Ave Ste 400, Grand Island, NE 68803 | 2009-07-09 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| 1336347616 | Gregory Lee Nabity | Physician Assistant | 1320 E 31st St, Wahoo, NE 68066-5581 | 2007-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
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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.