JASMINE PETERSON (NPI# 1669837365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669837365 |
| Entity Type | Individual |
| Full Name | JASMINE PETERSON |
| Credential | PA |
| Practice Address |
1600 Fort Benning Rd Columbus GA 31903-2834 |
| Practice Telephone | 7063229599 |
| Practice Fax Number | 7065073047 |
| Mailing Telephone | 7063229599 |
| Mailing Fax Number | 7065073047 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472093 | Jasmine Ann Peterson | Physical Therapist | 319 Anacapa St, Santa Barbara, CA 93101-2351 | 2017-08-04 |
| 1972950608 | Jasmine Peterson | Pharmacist | 1210 W Braker Ln, Austin, TX 78758-3801 | 2016-05-23 |
| 1568663961 | Jasmine Chanel Peterson | Registered Nurse | Evans Army Community Hospital (each) Usa Meddac, Building 2059 Each 1650 Cochrane Circle, Fort Carson, CO 80913 | 2007-05-31 |
| Street Address |
1600 FORT BENNING RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31903-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902836000 | Kimberly Brown-gullatt | Family Medicine | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2006-07-04 |
| 1205491362 | Frances Nmachi Uneanya | Nurse Practitioner | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2019-05-04 |
| 1346803558 | Valley Healthcare System, Inc | Pharmacist | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2019-04-15 |
| 1891145116 | Ashley Brinkley | Nurse Practitioner | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2016-06-17 |
| 1376929943 | Tanesh L Buckner | Nurse Practitioner | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2015-08-06 |
| 1154716660 | Tiffany James | Nurse Practitioner | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2015-04-01 |
| 1578960134 | James Barron II | Dentist | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2014-11-25 |
| 1750799250 | Patricia D Marvets | Nurse Practitioner | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2014-07-28 |
| 1124465935 | Rachel Elisabeth Zaccagnino | Social Worker | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2013-06-03 |
| 1265741771 | Giovanna Guerra Troche | Psychologist | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2010-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104059 | Southern Living Academy PCh Inc. | Lodging | 4225 Alton Strret, Columbus, GA 31903 | 2017-06-27 |
| 1902348980 | Stephen Bible | Technician, Other | 113 Mosley Dr, Columbus, OH 31903 | 2016-11-08 |
| 1720501448 | Charlene Elise Baltimore | Counselor | 2100 Comer Ave, Columbus, GA 31903 | 2017-07-25 |
| 1770759052 | Soyini A. Fletcher | Dentist | 1600 Fort Benning Road, Columbus, GA 31903 | 2008-05-06 |
| 1689008740 | Heavener Dialysis LLC | Clinic/Center | 2401 Shelby St, Columbus, GA 31903-0000 | 2013-08-26 |
| 1124255955 | Brenda Gail Robinson | Licensed Practical Nurse | 2703 Dawson St, Columbus, GA 31903-1342 | 2009-06-19 |
| 1871931923 | Hope of Columbus, Inc. | Assisted Living Facility | 47 30th Ave, Columbus, GA 31903-1734 | 2013-06-11 |
| 1013382670 | Michael V Williams Jr. | Counselor | 3110 Clay St, Columbus, GA 31903-1926 | 2015-12-08 |
| 1114130374 | Jeffery Winfred Raney | Social Worker | 740 Winston Rd, Columbus, GA 31903-1940 | 2007-05-07 |
| 1326519489 | Sabrina Marie Hailey | Contractor | 3390 N Lumpkin Rd Apt 1108, Columbus, GA 31903-2120 | 2018-12-16 |
| Find all providers in zip 31903 | ||||
| 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 |
|---|---|---|---|---|
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1649886557 | Justin Knox | Physician Assistant | 7416 Roslindale Dr, Columbus, OH 43235-8904 | 2020-09-17 |
| 1336766310 | Mckenna Marie Wilson | Physician Assistant | 4752 Bentham Dr, Columbus, OH 43220-3204 | 2020-06-25 |
| 1881226744 | Adrian Gorzitze-maxey | Physician Assistant | 117 W Como Ave, Columbus, OH 43202-1027 | 2020-02-09 |
| 1699316604 | James Rodeman | Physician Assistant | 1351 Wyandotte Rd, Columbus, OH 43212-3248 | 2019-10-01 |
| 1740830017 | Rylie Taylor Ingham | Physician Assistant | 285 E State St Ste 600, Columbus, OH 43215-4329 | 2019-09-18 |
| 1487201976 | Columbus Surgical Assist, LLC | Physician Assistant | 605 N. High Street #234, Columbus, OH 43215-2024 | 2019-08-20 |
| 1699237743 | Stefan Khensouri | Physician Assistant | 3375 Paddington Dr, Columbus, IN 47203-4328 | 2019-04-05 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1760972426 | Simon Nke Acha | Physician Assistant | 285 E State St Ste 360, Columbus, OH 43215-4357 | 2018-05-17 |
| Find all providers in COLUMBUS | ||||
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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.