Jenna Beverly Peterson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1851 N Green Valley Pkwy Apt 2814
Henderson, NV 89074-5809

Phone

(503) 729-5007

NPI assigned

Jun 11, 2025

Sex

Female

Sole proprietor

No

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": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1255226965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N GREEN VALLEY PKWY APT 2814",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745809",
            "telephone_number": "503-729-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N GREEN VALLEY PKWY APT 2814",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745809",
            "telephone_number": "503-729-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JENNA",
        "middle_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Douglas Peters, DC
• Thomas Peters, MD
• Paige Petersen
• Peterson Dental Group, PC
• Emily K Peterson, DO
• Marcy Peterson
• Mark Clayton Peterson, D.D.S.
• Ryan Kent Peterson, O.D.
• Sarah E Peterson, ATC
• Sarah Marie Peterson

• Student in an Organized Health Care Education/Training Program in Henderson, NV
• Providers in Henderson, NV by specialty
• Student in an Organized Health Care Education/Training Program in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.