JASMINE PETERSON (NPI# 1972950608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972950608 |
| Entity Type | Individual |
| Full Name | JASMINE PETERSON |
| Credential | PHARMD |
| Practice Address |
1210 W Braker Ln Austin TX 78758-3801 |
| Mailing Address |
1508 Colquitt Ave Albany GA 31707-5110 |
| Practice Telephone | 5129789300 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH028755 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472093 | Jasmine Ann Peterson | Physical Therapist | 319 Anacapa St, Santa Barbara, CA 93101-2351 | 2017-08-04 |
| 1669837365 | Jasmine Peterson | Physician Assistant | 1600 Fort Benning Rd, Columbus, GA 31903-2834 | 2015-12-22 |
| 1568663961 | Jasmine Chanel Peterson | Registered Nurse | Evans Army Community Hospital (each) Usa Meddac, Building 2059 Each 1650 Cochrane Circle, Fort Carson, CO 80913 | 2007-05-31 |
| Street Address |
1210 W BRAKER LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770574659 | Constancio Concepcion | Pediatrics | 1210 W Braker Ln, Austin, TX 78758-3801 | 2005-10-31 |
| 1306455928 | Nicole Powell Cantu | Social Worker | 1210 W Braker Ln, Austin, TX 78758-3801 | 2020-07-29 |
| 1720630296 | Central Texas Community Health Centers | Pharmacy | 1210 W Braker Ln, Austin, TX 78758-3801 | 2019-07-15 |
| 1578048674 | Rosario Rodriguez | Respiratory Therapist, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-09-25 |
| 1912489527 | Randall Trey Mitchell | Dietitian, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-08-30 |
| 1093206997 | Kathryn Litten | Pharmacist | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-05-25 |
| 1932623568 | Matlin Inga Sader | Registered Nurse | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-07-25 |
| 1891218632 | Erika Michelle Schiller | Registered Nurse | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-07-24 |
| 1528598166 | Kylie Jensen | Respiratory Therapist, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-06-15 |
| 1245769223 | Kaci M Webb | Family Medicine | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522978 | Jordan Bates | Pharmacist | 2901 Montopolis Dr, Austin, TX 78741-6411 | 2019-05-01 |
| 1225507122 | Dante Vincent Giordano | Pharmacist | 2529 S 1st St, Austin, TX 78704-5466 | 2018-11-20 |
| 1508213455 | Catlin Lee Grisham-takac | Pharmacist | 1210 W Braker Ln, Austin, TX 78758-3801 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453147 | Kaden Del Ridley | Pharmacist | 1300 S Coulter St Ste 203, Amarillo, TX 79106-1712 | 2020-09-25 |
| 1275143968 | Kristen M. Clancy | Pharmacist | 9723 Charter Ridge Dr, Houston, TX 77070-1907 | 2020-08-06 |
| 1235778887 | Kimberly Kay Lane | Pharmacist | 200 Saddletree Rd, Shavano Park, TX 78231-1543 | 2019-12-30 |
| 1427601319 | Ruth S Smith | Pharmacist | 5807 Sw 45th Ave, Amarillo, TX 79109-5205 | 2019-07-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1750940664 | Anne-cecile Mingle | Pharmacist | 209 N Water St, Corpus Christi, TX 78401-2528 | 2019-06-13 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1467964809 | Telfia Yvette Muckeroy | Pharmacist | 5787 S Hampton Rd # 230b, Dallas, TX 75232-2255 | 2017-10-25 |
| 1164944013 | Lizette Bunn | Pharmacist | 4647 Medical Dr # Ms 102-1, San Antonio, TX 78229-4403 | 2017-07-12 |
| Find all providers with the same taxonomy | ||||
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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.