Dr. Jen Peters PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DR. JEN PETERS PLLC

Practice address

880 Locust St Ste 129
Dubuque, IA 52001-6700

Phone

(563) 590-7009

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer PetersNPI 1568298024

Title

Owner

Phone

(563) 590-7009

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jen Peters PLLC Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Marie Peters

  • Psychiatric/Mental Health Nurse Practitioner
  • Dubuque, IA
  • NPI 1568298024

  IA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1548087778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CANDLEWICK CT",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038589",
            "telephone_number": "563-590-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 LOCUST ST STE 129",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016700",
            "telephone_number": "563-590-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEN PETERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-590-7009"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jen Peters PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Downs and Rauen Dentistry
• Richard Dennis Downs
• Dr Jenni L McCann Corporation
• Dr. Gene Noonan Inc
• Dr. Greg Hansen, P.C.
• Dale T Dreiling, MD
• Driftless Skin Center, P.C.
• Brian Tucker Droullard, COTA
• Mary M Drury, ARNP
• Dubuque Anesthesia Services, PC

• All providers in Dubuque, IA
• Adult Mental Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.