DR. JASON D PETERSON (NPI# 1992825244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992825244 |
| Entity Type | Individual |
| Full Name | DR. JASON D PETERSON |
| Credential | D.C. |
| Practice Address |
700 1st St S Willmar MN 56201-3504 |
| Practice Telephone | 3202311414 |
| Practice Fax Number | 3202312828 |
| Mailing Telephone | 3202311414 |
| Mailing Fax Number | 3202312828 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3352 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUECROSSBLUESHIELD | 31B85PE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225255748 | Jason M Peterson | Dentist | 1980 1st St, Idaho Falls, ID 83401-4342 | 2007-04-18 |
| 1114493673 | Jason Peterson | Case Manager/Care Coordinator | 1804 S Eddy St, Grand Island, NE 68801-7114 | 2018-10-22 |
| 1689173056 | Jason Lee Peterson | Physical Therapy Assistant | 10857 Kuykendahl Rd Ste 120, The Woodlands, TX 77382-2936 | 2018-02-12 |
| 1760837066 | Jason Trent Peterson | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-04-25 |
| 1073668000 | Jason R Peterson | Dietitian, Registered | 1111 6th Ave, Suite 510, Des Moines, IA 50314-2610 | 2007-01-23 |
| Street Address |
700 1ST ST S |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417260779 | Willmar Chiropractic Clinic P.a. | Chiropractor | 1950 19th Ave Sw, Willmar, MN 56201-4925 | 2010-07-15 |
| 1003075615 | Boline Fenstra Chiropractic PC | Chiropractor | 1101 1st St S, Willmar, MN 56201-3592 | 2008-06-09 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| 1386861029 | Jon Haefner | Chiropractor | 205 2th St Sw, Willmar, MN 56201 | 2007-04-20 |
| 1932244290 | Blonigan Christianson Chiropractic | Chiropractor | 1101 S 1st St, Willmar, MN 56201 | 2007-02-21 |
| 1295895506 | James Clarence Mootz | Chiropractor | 1427 1st St S, Willmar, MN 56201-4221 | 2006-12-11 |
| 1386710440 | Marybeth Nelson | Chiropractor | 418 Becker Ave Sw, Willmar, MN 56201 | 2006-11-28 |
| 1033293014 | Michael William Youngquist | Chiropractor | 180 45th Ave Se, Willmar, MN 56201 | 2006-10-25 |
| 1942381454 | David Lee Duininck | Chiropractor | 1550 Willmar Ave Se, Suite B, Willmar, MN 56201 | 2006-10-18 |
| 1710073150 | Sharon Diane Goosmann | Chiropractor | 900 Becker Ave. Se, Willmar, MN 56201 | 2006-10-05 |
| Find all providers in WILLMAR | ||||
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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.