Jesse Marie Peterman, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146498 Issued in AK

Practice address

235 E 9TH Ave
Anchorage, AK 99501-7501

Phone

(907) 301-9201

NPI assigned

Jun 12, 2019

Last updated

Dec 21, 2021By the provider in NPPES

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

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achievement Therapy Center

  • Occupational Therapist
  • Anchorage, AK
  • NPI 1215326319
  NPD (past)
• Cheshire Fitness Zone, LLC

  • Pediatric Physical Therapist
  • Cheshire, CT
  • NPI 1205961547

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1972162063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603501",
            "telephone_number": "203-874-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995017501",
            "telephone_number": "907-301-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064101379",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "JESSE",
        "middle_name": "MARIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "146498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter D Riley MD
• Alexandra Arin Peter
• Colin Mark Peter
• Lena Peter
• Marilyn Peter
• Andrew S Peters, D.O.
• Jordan Peters
• Joseph Benedict Peters
• Lina Peters
• Matthew Thomas Peters, MD

• Speech-Language Pathologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.