Jason R Peterson in Des Moines - Nutrition, Renal
Jason R Peterson - NPI 1073668000
Jason R Peterson is a Nutrition, Renal in Des Moines, Iowa. Jason R Peterson practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Jason R Peterson is 1073668000. The last update date is 2007-07-08.
Jason R Peterson's current location address is 1111 6th Ave, Des Moines, Iowa. You can contact this provider via phone number 5156435275 and fax number 5156435276. The mailing address for Jason R Peterson is 1111 6th Ave, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason R Peterson |
|---|---|
| Address | 1111 6th Ave, Des Moines, Iowa |
| Phone Number | 5156435275 |
| Fax Number | 5156435276 |
| Sole Proprietor | N |
| Credentials | R D |
NPI Number Detail
| NPI Number | 1073668000 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1111 6th Ave |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503142610 |
| Phone Number | 5156435275 |
| Fax Number | 5156435276 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 1563 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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Post Comment/ Review Below
What is the Jason R Peterson's unique identification number?
The Jason R Peterson has been assigned the NPI (National Provider Identifier) Number 1073668000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jason R Peterson located?
The Jason R Peterson is located at 1111 6Th Ave, Des Moines, IA 503142610.
What is Jason R Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason R Peterson's specialized field of practice is Nutrition, Renal, and the corresponding taxonomy code that categorizes this area of specialization is 133Vn1005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073668000 to Jason R Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1073668000 to Jason R Peterson on 2007-01-23.
As of what date was the information regarding Jason R Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason R Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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