JAYDE PETERS


Address: 15023 21 Mile Rd, Shelby Township, MI 48315-5024
Phone: 5862869644

JAYDE PETERS (NPI# 1942759808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942759808
Entity Type Individual
Full Name JAYDE PETERS
Practice Address 15023 21 Mile Rd
Shelby Township
MI 48315-5024
Mailing Address 15930 19 Mile Rd
Building 200, Suite 150
Clinton Township
MI 48038-1155
Practice Telephone 5862869644
Mailing Telephone 5864640175
Enumeration Date 2016-10-03
Last Update Date 2019-11-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
15930 19 Mile Rd, Building 200, Suite 150, Clinton Township, MI 48038 5864640175

Office Location

Street Address 15023 21 MILE RD
City SHELBY TOWNSHIP
State MI
Zip Code 48315-5024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396817771 Quality Care Rehabilitation Professionals, Inc Specialist 15023 21 Mile Rd, Shelby Township, MI 48315 2006-11-14
1396377024 Amanda Plumb Behavioral Analyst 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2020-02-11
1700429537 Kimberlie Watkins Occupational Therapist 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2019-10-24
1275174492 Victoria Hack Occupational Therapist 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2019-09-30
1881245330 Milagros Sotomayor Occupational Therapist 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2019-09-26
1437718830 Quality Care Rehabilitation Professionals Occupational Therapist 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2019-06-10
1861961351 Amy Jessica Divirgilio Occupational Therapist 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2018-11-14
1811465545 Priyanka Villanassery Physical Therapist 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2018-11-12
1811465552 Malerie Davis Speech-Language Pathologist 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2018-11-12
1457847501 Nicole Nagy Speech-Language Pathologist 15023 21 Mile Rd, Shelby Township, MI 48315-5024 2018-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649885500 Steven William Scavone Counselor 45660 Schonherr Rd., Shelby Township, MI 48315 2020-09-08
1861039844 Lauren Nicole Himmel Physician Assistant 13051 Michael Dr., Shelby Twp., MI 48315 2019-12-09
1881173763 Shelby Family Cosmetic & Restorative Dentistry Dentist 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 2018-08-10
1023594223 Apex Chiropractic, P.C. Chiropractor 51543 Schoenherr Road, Shelby Township, MI 48315 2018-07-11
1053809145 Bam Management Clinic/Center 13433 Hall Road, Utica, MI 48315 2018-04-25
1659723203 Patricia Gates Registered Nurse 23066 Balcombe, Utica, MI 48315 2016-07-07
1124481213 Jai Shree Umiya Inc Durable Medical Equipment & Medical Supplies 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 2016-04-05
1679931828 Team Rehabilitation S3, LLC Physical Therapist 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 2016-02-03
1164816484 Sylvia White Case Manager/Care Coordinator 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 2015-03-25
1770921389 Amy Christine Vitale Speech-Language Pathologist 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 2013-06-06
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Taxonomy Information

Taxonomy Code 247200000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other

Taxonomy Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154879328 Vincenza Randazzo Technician, Other 55415 Jewell Rd, Shelby Township, MI 48315-1065 2016-09-16
1841743440 Pamela Gail Strong Technician, Other 8690 Carriage Hill Dr, Shelby Township, MI 48317-1408 2016-07-29
1942650718 Samantha Parison Technician, Other 47980 Shelby Road, Shelby Township, MI 48317 2016-06-13
1013390871 David Charles Winn Jr. Technician, Other 5645 Celestial Ct, Shelby Township, MI 48316-1714 2015-06-29
1437540341 Jordan Orosco Technician, Other 11309 Fairmont Dr, Shelby Township, MI 48315-6685 2015-02-13
1700280260 Katherine Spiteri Technician, Other 53314 Starlite Dr, Shelby Township, MI 48316-2342 2014-10-13
1609326461 Carlton Gould Technician, Other 4954 Pebble Crk N Apt 6, Shelby Township, MI 48317-4893 2016-10-05
1922457605 Vernice Moore Technician, Other 14030 Lakeside Blvd N, Bldg C Apt 230, Shelby Township, MI 48315-6050 2016-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093321200 Jamie Price-tober Technician, Other 4777 Spitler Dr, Bay City, MI 48706-9498 2020-09-22
1043824535 Audrey E Carlson Technician, Other 5 Skyhaven Ct, Saginaw, MI 48604-1820 2020-09-02
1417569666 Nicole Gainforth Technician, Other 610 Hickory Ct, Sebewaing, MI 48759-1413 2020-08-19
1205447364 Bryan David Wilkinson Technician, Other 153 E Auburn Trl, Brighton, MI 48114-5011 2020-08-12
1104442656 Meredith Sparks Technician, Other 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 2020-06-21
1487276366 Sarah Zimmerman Technician, Other 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 2020-05-13
1649890096 Justice Kristina-marie Bass Technician, Other 401 E Willard Ave Apt 4, Lansing, MI 48910-3078 2020-04-24
1609400522 Vickie Gaines Technician, Other 28096 Palomino Dr, Warren, MI 48093-4232 2020-02-29
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1376182766 Katie Marie Morton Technician, Other 3210 Elnor Dr, Gladwin, MI 48624-8366 2020-01-02
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Competitor

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City SHELBY TOWNSHIP
Zip Code 48315

Improve Information

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Dataset Information

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.

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