Mary Lee Peters, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00025723 Issued in WA

Practice address

901 Boren Ave Ste 1650
Seattle, WA 98104-3508

Phone

(206) 464-0873

Fax

(206) 467-7351

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mpeters1042930@wm.providencedirect.org

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033207642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 E VALLEY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124532",
            "telephone_number": "206-323-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 1650",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043508",
            "telephone_number": "206-464-0873",
            "fax_number": "206-467-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MARY",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00025723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Catherine Peters, LMHC LICENSED MENTAL
• Chloe Elizabeth Peters, MD
• Jessica Peters, OTR/L
• Kevin Peters
• Linda M Peters, PH.D.
• Natalie Gail Peters, PH.D.
• Odessa Peters
• Steven Ray Peters, M.D.
• Wendy Barnett Peters, DPT
• William Anthony Peters, MD

• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.