JENNIFER PETERSON (NPI# 1942689955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942689955 |
| Entity Type | Individual |
| Full Name | JENNIFER PETERSON |
| Credential | PH.D. |
| Practice Address |
1500 N Westwood Blvd Poplar Bluff MO 63901-3318 |
| Practice Telephone | 5737784503 |
| Mailing Telephone | 5737784503 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9352269-2501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1801428065 | Jennifer R Peterson | Counselor | 808 E 7th St, Atlantic, IA 50022-1805 | 2020-02-06 |
| 1093229577 | Jennifer Catherine Peterson | Nurse Practitioner | 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 | 2017-11-20 |
| 1851796411 | Jennifer Peterson | Physical Therapist | 4509 Normandy St, Bismarck, ND 58503-5645 | 2014-10-24 |
| 1821339805 | Jennifer Peterson | Licensed Practical Nurse | 68 Howard Ln, Tonawanda, NY 14150-8125 | 2013-03-15 |
| 1740556331 | Jennifer Peterson | Massage Therapist | 14 S Dakota St, Butte, MT 59701-2003 | 2012-03-28 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1639481963 | Jennifer May Peterson | Massage Therapist | 3617 Woodland Park Ave N Apt 8, Seattle, WA 98103-7945 | 2010-07-01 |
| 1992937650 | Jennifer Christine Peterson | Occupational Therapist | 3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251 | 2009-08-13 |
| 1891963401 | Jennifer Peterson | Massage Therapist | 6424 158th Street Ct E, Puyallup, WA 98375-7410 | 2008-02-16 |
| Street Address |
1500 N WESTWOOD BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142256 | Jeffrey Lee Dakas | Internal Medicine | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2005-05-24 |
| 1184244493 | Kristy Michelle Keirsey | Dental Hygienist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2020-04-16 |
| 1538788310 | Wendy Lynn Weston | Nurse Practitioner | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2020-04-13 |
| 1841842713 | Lyrra Suszanne Stucker | Registered Nurse | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2019-07-11 |
| 1043874803 | Deirdre Stocks | Nurse Practitioner | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2019-04-26 |
| 1053892026 | Janet Lee Turner | Pharmacist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2018-08-27 |
| 1215450291 | Richard Ladka | Pharmacist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2017-07-20 |
| 1285157388 | Jessica Lynn Libla | Nurse Practitioner | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2017-07-20 |
| 1780107995 | Hannah Irene Terry | Pharmacist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901 | 2017-07-19 |
| 1780112953 | Lyntoria Rochelle Williams | Social Worker | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2017-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124035449 | John Owen Wood | Psychologist | 1906 Greenwood Dr # B, Poplar Bluff, MO 63901-2430 | 2006-08-01 |
| 1316925217 | Bridget Hurt | Psychologist | 907 N Main St, Poplar Bluff, MO 63901-4300 | 2006-01-03 |
| 1952866139 | Saint Francis Medical Center | Psychologist | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2019-02-01 |
| 1972908010 | Amanda Jo Wallace | Psychologist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2014-10-31 |
| 1265712780 | Amber Wheeler Richardson | Psychologist | 225 Physicians Park, Ste 300, Poplar Bluff, MO 63901-3930 | 2011-08-29 |
| 1386895233 | Matthew Douglas Geyer | Psychologist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2008-10-08 |
| 1316055965 | Donna Lynn Parkinson | Psychologist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-08-25 |
| 1245283415 | Marylee Jennings | Psychologist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on JENNIFER 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.