Karen E. Peterson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

205602 Issued in MA

Practice address

48 Nelson Street
Leominster, MA 01453

Phone

(978) 466-4396

Fax

(978) 466-4029

NPI assigned

Mar 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karen.peterson.npi1003877911.reliant@direct.optumcare.masshiway.net

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

• Medpractice PC

  • Internal Medicine Physician
  • Shrewsbury, MA
  • NPI 1821364472
  Medicare reassignment NPD
• Accountable Care Clinical Services PC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1760731137
  NPD (past)
• Accountable Care Practice Services PC

  • Hospitalist Physician
  • Springfield, MA
  • NPI 1710235908
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1003877911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VALLEY VIEW CIR",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015431374",
            "telephone_number": "978-466-4396",
            "fax_number": "978-466-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NELSON STREET",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-466-4396",
            "fax_number": "978-466-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KAREN",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "205602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry A. Perla
• Denise C. Permatteo, LICSW
• Janice L Perry, LIC. AC.
• Jared D Perry, MSW
• M Joyce Persson, BCBA
• Tawnya Peterson, LMHC
• David J Petullo, MD
• Marianne Peznola, PT
• Yves Phaeton
• Amee Phan, DO

• Nurse Practitioner in Leominster, MA
• Providers in Leominster, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.