JENNIFER MARIE PETERSEN (NPI# 1740705003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740705003 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE PETERSEN |
| Credential | AGNP-C |
| Practice Address |
1892 Bassett Rd Westlake OH 44145-1909 |
| Practice Telephone | 4404657124 |
| Mailing Telephone | 4404657124 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN.CNP.020810 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN.CNP.020810 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506353 | Jennifer S Petersen | Specialist | 266 Rintin St, Franklin Square, NY 11010-3406 | 2019-09-04 |
| 1891236550 | Jennifer Petersen | Counselor | 103 Enterprise Dr, Warsaw, IN 46580-1204 | 2017-03-14 |
| 1417308578 | Jennifer Mary Petersen | Licensed Practical Nurse | 417 Grove St, Sullivan, WI 53178-9770 | 2016-06-29 |
| 1013311398 | Jennifer Petersen | Counselor | 4213 Durango Pl, Fort Collins, CO 80526-4103 | 2014-10-15 |
| 1558669523 | Jennifer L Petersen | Speech-Language Pathologist | 53 Bedford Ave, Middletown, NY 10940-6414 | 2011-03-01 |
| 1265586812 | Jennifer L Petersen | Specialist/Technologist | 1256 Bark Rd, Magnolia, OH 44643 | 2007-01-22 |
| 1124180104 | Jennifer Jill Petersen | Chiropractor | 20730 Holyoke Ave, Suite 34, Lakeville, MN 55044 | 2006-12-15 |
| 1841279890 | Jennifer Lynn Petersen | Chiropractor | 128 6th Ave S, Clinton, IA 52732-4103 | 2006-01-10 |
| 1073037982 | Jennifer Suzanne Petersen | Registered Nurse | 5930 S 58th St Ste W, Lincoln, NE 68516-3653 | 2017-08-01 |
| 1265823058 | Jennifer Petersen | Pharmacy Technician | 301 Park Dr, Owatonna, MN 55060-5639 | 2015-02-15 |
| Street Address |
1892 BASSETT RD |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033610837 | Chelsea Marie Maiberger | Nurse Practitioner | 27442 Dunford Rd, Westlake, OH 44145-5344 | 2018-02-27 |
| 1265889232 | Anne M Hanzel | Nurse Practitioner | 25200 Center Ridge Rd Ste 2600, Westlake, OH 44145-4142 | 2016-05-19 |
| 1184001745 | Lorain County Correctional Institution | Nurse Practitioner | 1421 Bradley Rd, Westlake, OH 44145-1721 | 2015-05-04 |
| 1619319118 | Kimberly May | Nurse Practitioner | 1409 Fitzroy St, Westlake, OH 44145-2473 | 2013-07-24 |
| 1154763753 | Patricia Ann Shipley | Nurse Practitioner | 29636 Indian Ridge Cv, Westlake, OH 44145 | 2013-07-24 |
| 1508896754 | Gabriella Mccarty | Nurse Practitioner | 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 | 2006-07-04 |
| 1356995138 | Nicole M Zambory | Nurse Practitioner | 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 | 2019-07-30 |
| 1497271654 | Carrie L. Astrab | Nurse Practitioner | 26908 Detroit Rd Ste 200, Westlake, OH 44145 | 2017-08-19 |
| 1841720281 | Sandra Blackburn | Nurse Practitioner | 27991 Center Ridge Rd, Westlake, OH 44145-3902 | 2017-06-18 |
| 1659742302 | Carol Loreen Kelly | Nurse Practitioner | 25200 Center Ridge Rd, Suite 2300, Westlake, OH 44145-4141 | 2015-10-07 |
| Find all providers in WESTLAKE | ||||
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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.