Stephanie Peters

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6195 Issued in MN

Practice address

5200 Willson Rd Ste 215
Edina, MN 55424-1316

Phone

(612) 787-2344

NPI assigned

Jan 12, 2015

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

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26511/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1013306323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 VERNON AVE S STE 147",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 215",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241316",
            "telephone_number": "612-787-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 NW 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361409",
            "country_code": "US",
            "telephone_number": "305-355-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Perpich, D.D.S.
• Shannon M Perron, RD, LD, CDE
• Paige Persch, MD
• Elise Mary Pesch, DNP
• James Frederick Peters, MD
• Stephanie Linnea Peters, MS, PA-C
• Allison Wichmann Petersen, PA
• Douglas George Petersen, DDS
• Juliette E Petersen, MD
• Krista Kelly Petersen

• Clinical Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.