Christopher Lee Peredney, DNP

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN60037521 Issued in WA

Practice address

2321 W Dayton Airport Rd
Shelton, WA 98584-6319

Phone

(360) 490-9614

NPI assigned

May 15, 2025

Last updated

May 15, 2025By the provider in NPPES

Sex

Male

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

Practice roles

Locations

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.

• Washington State Department of Corrections Washington Corrections Cent

  • Prison Health Clinic/Center
  • Shelton, WA
  • NPI 1447541834
  NPD

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1023809225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 W DAYTON AIRPORT RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985846319",
            "telephone_number": "360-490-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W DAYTON AIRPORT RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985846319",
            "telephone_number": "360-490-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDNEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WA",
            "license": "RN60037521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Kwong P.S.
• Patrick Kwong P.S.
• Andrew J Pelczar, MD
• Peninsula Community Health Services
• Christopher Webb Penoyar, D.O.
• Patricia Eileen Perry
• Brittany Anne Peschek, D.P.D
• James Peterman
• Pamela Lynn Peters, RN
• Steven R Peters, LICENSE DENTURIST

• Administrator Registered Nurse in Shelton, WA
• Providers in Shelton, WA by specialty
• Administrator Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.