Jasmine Caasia Peterson I

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

8745 Broadway Ave
Cleveland, OH 44105-5388

Phone

(800) 275-8777

Fax

(216) 271-5722

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1255057642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12908 FERRIS AVE FL 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441055553",
            "telephone_number": "216-972-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441055388",
            "telephone_number": "800-275-8777",
            "fax_number": "216-271-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JASMINE",
        "middle_name": "CAASIA",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Peterson, MS, RD, CNSC
• Emily Kathryn Peterson
• Isaac Peterson
• Jane Peterson, PHARMD
• Jane M Peterson, APN
• Katelyn Elizabeth Peterson
• Kristy Peterson, LSW
• Lesa Dione Peterson, LPN
• Lisa P Peterson
• Mary Peterson, PA-C

• Home Health Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.