JON D PETERS (NPI# 1689776106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689776106 |
| Entity Type | Individual |
| Full Name | JON D PETERS |
| Credential | M.D. |
| Practice Address |
12007 Sunrise Valley Dr Suite 120 Reston VA 20191-3479 |
| Mailing Address |
Po Box 79429 Baltimore MD 21279-0429 |
| Practice Telephone | 3016245731 |
| Mailing Telephone | 3016245731 |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NCPPO | 505094 | 01 |
| VA | ANTHEM BC BS | 223963 | 01 |
| VA | AETNA | 4054667 | 01 |
| VA | ONITED HEALTHCARE | 0500039 | 01 |
| DC | US DOL WC | 1505687000 | 01 |
| VA | AMERIGROUP | 283598 | 01 |
| VA | ALLIANCE | 46389 | 01 |
| DC | CF DC | 45710002 | 01 |
| MD | CF MD REGIONAL RENDERING | 53508702 | 01 |
| VA | MAMSI | 46389 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720320740 | Jon Kennon Peters | Nurse Practitioner | 148 Sauls St Ste E, Lake City, SC 29560-2677 | 2013-03-18 |
| 1306286539 | Jon C Peters | Social Worker | 707 S Jackson Park Dr, Seymour, IN 47274-2627 | 2013-07-02 |
| 1053421628 | Jon Peters | Technician, Other | 19 Belmont Ave, Suite 201, Brattleboro, VT 05301-7109 | 2006-08-30 |
| 1083621312 | Jon Peters | Family Medicine | 2647 Ne 33rd Ave, Portland, OR 97212-3647 | 2006-08-01 |
| Street Address |
12007 SUNRISE VALLEY DR SUITE 120 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871508366 | Neuroscience Consultants, Plc | Specialist | 12007 Sunrise Valley Dr, Suite 120, Reston, VA 20191-3479 | 2006-07-31 |
| 1033546908 | Neuroscience Consultants, Plc | Psychiatry & Neurology | 12007 Sunrise Valley Dr, Suite 130, Reston, VA 20191-3479 | 2013-10-08 |
| 1538314034 | Bernadette M Landolf | Psychologist | 12007 Sunrise Valley Dr, Ste 220, Reston, VA 20191-3446 | 2008-11-25 |
| 1053448480 | Home Health Connection, Inc. | Home Health | 12007 Sunrise Valley Dr, Suite 103, Reston, VA 20191 | 2007-02-27 |
| 1962539395 | Home Health Connection, Inc. | Respite Care | 12007 Sunrise Valley Dr, Suite 170, Reston, VA 20191-3479 | 2007-02-27 |
| 1760560718 | Home Health Connection, Inc. | Home Health | 12007 Sunrise Valley Dr, Suite 170, Reston, VA 20191-3479 | 2006-11-01 |
| 1043315369 | Terry Watkin | Specialist | 12007 Sunrise Valley Dr, Suite 120, Reston, VA 20191-3479 | 2006-09-13 |
| 1811904352 | Ruben Cintron | Specialist | 12007 Sunrise Valley Dr, Ste 120, Reston, VA 20191-3479 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740568591 | Optima Services, Pllc | Specialist | 11440 Commerce Park Drive, Ll-4, Reston, VA 20191-1555 | 2011-07-28 |
| 1053638478 | Paula Towson Mastbrook | Specialist | 11250 Roger Bacon Dr Ste 23, Reston, VA 20190-5202 | 2010-04-25 |
| 1801956057 | Linda Hays Mosely | Specialist | 1860 Town Center Dr Ste 220, Reston, VA 20190-5905 | 2006-12-11 |
| 1528177516 | Byron D. Poindexter | Specialist | 1825 Samuel Morse Dr, Reston, VA 20190-5317 | 2006-08-30 |
| 1871508366 | Neuroscience Consultants, Plc | Specialist | 12007 Sunrise Valley Dr, Suite 120, Reston, VA 20191-3479 | 2006-07-31 |
| 1407874621 | Ahmad Osman Noori | Specialist | 1860 Town Center Drive, Suite 280, Reston, VA 20190-5896 | 2006-07-17 |
| 1811930829 | Namrata Raj Sinha | Specialist | 1860 Town Center Dr., Suite 140, Reston, VA 20190 | 2006-06-14 |
| 1427032564 | Richard L Stokes IIi | Specialist | 1830 Town Center Dr, Suite 207, Reston, VA 20190-3292 | 2005-12-02 |
| 1306211370 | Urology Center-usa Inc | Specialist | 1830 Town Center Dr, Suite 301, Reston, VA 20190-3292 | 2015-12-02 |
| 1184012957 | Benchmark Health Systems, LLC | Specialist | 1850a Town Center Pkwy, Ste 410, Reston, VA 20190-5851 | 2015-01-02 |
| Find all providers in RESTON | ||||
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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.