Jennifer Peterson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

121 S B St Unit 1
Virginia City, NV 89440-9829

Phone

(775) 430-0305

NPI assigned

Nov 28, 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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1336859693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "VIRGINIA CITY",
            "state": "NV",
            "postal_code": "894400325",
            "telephone_number": "775-430-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S B ST UNIT 1",
            "city": "VIRGINIA CITY",
            "state": "NV",
            "postal_code": "894409829",
            "telephone_number": "775-430-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Storey
• Clare Fite, CADC-I
• Christina L Hess, REGISTERED DIETITIAN
• Kim Belinda Mason, RD
• Nevada Health Centers Inc.
• Amy Reha, LCPC
• Erik E Schoen, LCPC, LPC, LADC, NCC
• Souza Counseling Services, LLC
• Katherine Zimmer Souza, PH.D., LMFT
• Amanda Tinter

• Home Health Aide in Virginia City, NV
• Providers in Virginia City, NV by specialty
• Home Health Aide in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.