JAMIE BROOKE PETERSON (NPI# 1487078911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487078911 |
| Entity Type | Individual |
| Full Name | JAMIE BROOKE PETERSON |
| Credential | PA-C |
| Practice Address |
101 E Mount Royal Ave Apt 301 Baltimore MD 21202-2757 |
| Practice Telephone | 4109555000 |
| Practice Fax Number | 4106307211 |
| Mailing Telephone | 2084400255 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1236 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0005316 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9300 W Overland Rd Ste 150, Boise, ID 837098267 | 2082688024 | 7205980440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649752015 | Jamie Peterson | Counselor | 3 Washington Circle Nw, Suite 406, Washington, DC 20037 | 2018-09-03 |
| 1376998427 | Jamie Lyn Peterson | Counselor | 195 Anselmo Dr, Reno, NV 89523-8989 | 2016-04-26 |
| 1407107931 | Jamie D Peterson | Specialist/Technologist, Other | 1604 Visa Dr Ste 2, Normal, IL 61761-2195 | 2012-09-24 |
| 1831256577 | Jamie Peterson | Social Worker | 1660 W Linne Rd, Ste J, Tracy, CA 95377-8024 | 2007-01-02 |
| 1821638248 | Jamie Peterson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-01-14 |
| 1164065769 | Jamie Peterson | Massage Therapist | 1107 7th St, Oregon City, OR 97045-2407 | 2019-10-26 |
| 1457824245 | Jamie Lyn Peterson | Counselor | 70 Jewett Pkwy, Buffalo, NY 14214-2322 | 2019-01-04 |
| 1124500061 | Jamie Anne Peterson | Speech-Language Pathologist | 3000 Schoolview Rd, Eden, NY 14057-1117 | 2018-09-06 |
| 1366811739 | Jamie Peterson | Registered Nurse | 286 S 16th St, Grover Beach, CA 93433-2245 | 2015-09-16 |
| 1962892166 | Jamie Peterson | Speech-Language Pathologist | 325 Inverness Dr S, Englewood, CO 80112-6012 | 2015-01-27 |
| Street Address |
101 E MOUNT ROYAL AVE APT 301 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1962014233 | Julian Kang | Physician Assistant | 3407 Wilkens Ave Ste 250, Baltimore, MD 21229-5222 | 2020-08-18 |
| 1962034868 | Ruth Angelica Naomi Jasienski | Physician Assistant | 6821 Reisterstown Rd Lowr Lvl, Baltimore, MD 21215-1431 | 2020-02-08 |
| 1679115463 | Mark Symancyk | Physician Assistant | 620 W Lexington St, Baltimore, MD 21201-1508 | 2019-10-13 |
| 1356800353 | Kara M Dragunas | Physician Assistant | 6701 N Charles St Rm 3808, Baltimore, MD 21204-6808 | 2019-03-19 |
| 1184190480 | Joshua Davidoff | Physician Assistant | 5200 Eastern Ave Fl East2, Baltimore, MD 21224-2734 | 2018-10-15 |
| 1083189005 | Bing Wang | Physician Assistant | 6701 N Charles St Rm 3641, Baltimore, MD 21204-6808 | 2018-10-05 |
| 1932674140 | Georgia Foulds | Physician Assistant | 5801 Smith Ave Ste 210, Baltimore, MD 21209-3652 | 2018-10-04 |
| 1922582576 | Catherine Kashmer | Physician Assistant | 600 N Wolfe St Ste 1008, Baltimore, MD 21287-0005 | 2018-09-19 |
| Find all providers in BALTIMORE | ||||
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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.