JESSICA DWAN PETERS (NPI# 1750567657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750567657 |
| Entity Type | Individual |
| Full Name | JESSICA DWAN PETERS |
| Credential | MS, ATC, LAT, PES |
| Practice Address |
2800 University Blvd N Jacksonville FL 32211-3321 |
| Practice Telephone | 9042567678 |
| Practice Fax Number | 9042567424 |
| Mailing Telephone | 9042567678 |
| Mailing Fax Number | 9042567424 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL2042 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808322 | Jessica Lynn Peters | Licensed Practical Nurse | 699 Bruce Dr, Wantagh, NY 11793-1109 | 2019-12-12 |
| 1841854197 | Jessica Deann Peters | Driver | 309 Shadow Dr, Shelbyville, TN 37160-2513 | 2019-04-23 |
| 1013454479 | Jessica Peters | Occupational Therapist | 10224 Kelly Rd, Wapakoneta, OH 45895-9405 | 2017-01-24 |
| 1902214547 | Jessica Peters | Registered Nurse | 3887 Reeves Ln, Medina, OH 44256-7057 | 2014-07-28 |
| 1992834113 | Jessica Nicole Peters | Specialist/Technologist | 5589 Cheviot Rd, Cincinnati, OH 45247-7020 | 2007-03-05 |
| 1700428182 | Jessica Peters | Case Manager/Care Coordinator | 333 S Main St Ste 105, Akron, OH 44308-1210 | 2019-10-17 |
| 1508338229 | Jessica Peters | Counselor | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2018-12-19 |
| 1972078020 | Jessica Peters | Occupational Therapist | 1035 Sw 124th St, Seattle, WA 98146-2746 | 2018-10-04 |
| 1346693983 | Jessica Peters | Registered Nurse | 1200 Collins Ave, Mandan, ND 58554-2066 | 2016-07-19 |
| 1952769671 | Jessica Peters | Social Worker | 300 Longwood Ave, Boston, MA 02115 | 2016-02-09 |
| Street Address |
2800 UNIVERSITY BLVD N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093712879 | Amy Lynn Counts | Dentist | 2800 University Blvd N, Jacksonville, FL 32211-3321 | 2005-07-07 |
| 1174089197 | Sarah Elizabeth Long | Nurse Practitioner | 2800 University Blvd N, Jacksonville, FL 32211-3394 | 2019-02-14 |
| 1750846788 | Isil Aras | Dentist | 2800 University Blvd N, Jacksonville, FL 32211-3394 | 2019-02-04 |
| 1861963019 | Jennifer Ann Zimmerman | Specialist/Technologist | 2800 University Blvd N, Jacksonville, FL 32211-3394 | 2018-12-16 |
| 1205301124 | Ryuta Sakai | Specialist/Technologist | 2800 University Blvd N, Jacksonville, FL 32211 | 2018-10-07 |
| 1427563899 | Grant Vezina | Dentist | 2800 University Blvd N, Jacksonville, FL 32211-3321 | 2017-12-07 |
| 1497272405 | Oscar Olavarria | Dentist | 2800 University Blvd N, Jacksonville, FL 32211-3321 | 2017-08-30 |
| 1881145100 | Jacksonville University | Public Health or Welfare | 2800 University Blvd N, Jacksonville, FL 32211-3321 | 2016-10-21 |
| 1205384112 | Richard Griffith | Dentist | 2800 University Blvd N, Jacksonville, FL 32211-3321 | 2016-09-20 |
| 1043668593 | Eman Othman | Dentist | 2800 University Blvd N, Jacksonville, FL 32211-3321 | 2016-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
| 1730717091 | Bryan M Langan | Specialist/Technologist | 8 Sunnydale Ave, Jacksonville, IL 62650-2656 | 2020-03-31 |
| 1184257065 | Tory Ann Cooper | Specialist/Technologist | 8136 Pine Springs Ln, Jacksonville, FL 32244-7445 | 2020-02-19 |
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1194360008 | Shaylee Jade Fouts | Specialist/Technologist | 1210 Corinth Rd, Jacksonville, TX 75766-3208 | 2019-11-14 |
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1639733975 | Logen Izzak Hirn | Specialist/Technologist | 141 Lakewood Dr, Jacksonville, NC 28546-4633 | 2019-04-23 |
| 1568924348 | Thomas Bradley Vickers | Specialist/Technologist | 11911 Cornelius St, Jacksonville, FL 32246-4004 | 2019-04-02 |
| 1063971729 | Leonardo Sierra | Specialist/Technologist | 11057 Stutz Ct, Jacksonville, FL 32246-1401 | 2019-03-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
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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.