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JACOB PETERSON
NPI 1699597963
Student in an Organized Health Care Education/Training Program in Madison, WI

Active since October 29, 2024
1475 ENGINEERING DR, MADISON, WI 53706(608) 264-8065 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB PETERSON (NPI 1699597963) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1699597963
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB PETERSON
Location Address1475 ENGINEERING DRMadison, WI 53706-1607
Mailing Address1815 University Ave Apt 200Madison, WI 53726-4092
Phone(608) 264-8065
Sole ProprietorNo
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1699597963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1475 ENGINEERING DR, Madison, WI 53706
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. HENRY WILLIAM JACOBS BS, BA, MSAT STUDENT
Specialist/Technologist (Athletic Trainer)
1475 ENGINEERING DR
MADISON, WI 53706
Dane County (608) 264-8065
JORDAN SMITH
Student in an Organized Health Care Education/Training Program
1475 ENGINEERING DR
MADISON, WI 53706
Dane County (608) 577-8878
MS. JORDAN MCDERMOTT
Specialist/Technologist (Athletic Trainer)
1475 ENGINEERING DR
MADISON, WI 53706
Dane County (608) 354-3576
BRADY GRUETT
Specialist/Technologist (Athletic Trainer)
1475 ENGINEERING DR
MADISON, WI 53706
Dane County (608) 264-8065
CASEY CRADDOCK LAT, MAT, ATC
Specialist/Technologist (Athletic Trainer)
1475 ENGINEERING DR
MADISON, WI 53706
Dane County (608) 440-0363
JACKSON R HELF
Specialist/Technologist (Athletic Trainer)
1475 ENGINEERING DR
MADISON, WI 53706
Dane County (608) 262-1866
MADELYN WYNVEEN
Student in an Organized Health Care Education/Training Program
1475 ENGINEERING DR
MADISON, WI 53706
Dane County (608) 264-8065
CODY MICHAEL ANDERSON
Student in an Organized Health Care Education/Training Program
1475 ENGINEERING DR
MADISON, WI 53706
Dane County (715) 456-6305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Peterson's NPI number?

The NPI number for Jacob Peterson is 1699597963. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Jacob Peterson located?

Jacob Peterson practices at 1475 Engineering Dr, Madison, WI 53706. The listed phone number is (608) 264-8065.

What is Jacob Peterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Peterson was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.