JESSICA ANNE FASHANT-PETERSON (NPI# 1609109982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609109982 |
| Entity Type | Individual |
| Full Name | JESSICA ANNE FASHANT-PETERSON |
| Credential | CNP |
| Practice Address |
6452 City West Pkwy Eden Prairie MN 55344-3245 |
| Mailing Address |
6452 City West Parkway Eden Prairie MN 55344 |
| Practice Telephone | 9529990333 |
| Practice Fax Number | 9523002558 |
| Mailing Telephone | 9529990333 |
| Mailing Fax Number | 9523002558 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R161940-3 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6452 CITY WEST PKWY |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578551636 | Robert John Zajac | Pediatrics | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2005-10-12 |
| 1407466436 | Amy Pedersen | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-08-04 |
| 1952928723 | Leah Marie Tasso | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-06-28 |
| 1134760903 | Nichole Kathleen Sorteberg | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-10-03 |
| 1285295626 | Quincee Lynn Macgibbon | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-06-26 |
| 1740776707 | Stacy Adair Woodard | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2018-07-02 |
| 1801304696 | Cynthia Lee Voigt | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344 | 2018-01-16 |
| 1447772934 | Stephanie Augustin | Registered Nurse | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2017-07-17 |
| 1497277438 | Katie Ann Eagle | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2017-07-12 |
| 1760816045 | New Kingdom Pediatrics LLC | Clinic/Center | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2013-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902243652 | Linda Ruth Peitzman | Family Medicine | 6641 Promontory Dr, Eden Prairie, MN 55346-1918 | 2013-06-03 |
| 1942224431 | Patrick F Hergott | Family Medicine | 775 Prairie Center Drive, Suite 200, Eden Prairie, MN 55344 | 2006-07-27 |
| 1235167792 | Benjamin W Chaska | Family Medicine | 18026 Bearpath Trl, Eden Prairie, MN 55347-3450 | 2006-06-30 |
| 1407833890 | Barbara A Benjamin | Family Medicine | 830 Prairie Center Dr, Eden Prairie, MN 55344-7301 | 2005-12-27 |
| 1790760304 | Wayne R Kaniewski | Family Medicine | 7905 Golden Triangle Dr, Ste 190, Eden Prairie, MN 55344-7220 | 2005-12-07 |
| 1205368933 | Katherine Baillon | Family Medicine | 8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 | 2017-03-31 |
| 1457771271 | Alice Macdonald | Family Medicine | 8455 Flying Cloud Dr, Eden Prairie, MN 55344 | 2014-04-19 |
| 1063832921 | Jared Joseph Mell | Family Medicine | 8455 Flying Cloud Dr, Eden Prairie, MN 55344 | 2014-04-18 |
| 1932472933 | Healthy Weighs Metabolic Health and Weight Management Clinic, Pllc | Family Medicine | 7460 Market Place Dr, Eden Prairie, MN 55344-3604 | 2012-02-22 |
| 1114189289 | Won Suk Choi | Family Medicine | 830 Prairie Center Dr, Eden Prairie, MN 55344-7301 | 2008-06-30 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on JESSICA ANNE FASHANT-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.