Michele L Peterson, CD

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

5850 Cameron Run Ter
826
Alexandria, VA 22303-1860

Phone

(703) 350-2056

NPI assigned

Dec 27, 2009

Last updated

Dec 27, 2009By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1261872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261872000000",
    "number": "1053641993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 CAMERON RUN TER",
            "address_2": "826",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031860",
            "telephone_number": "703-350-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 CAMERON RUN TER",
            "address_2": "826",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031860",
            "telephone_number": "703-350-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-27",
        "last_updated": "2009-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Petersilia, LCSW
• Anne M Peterson
• Ashley Camille Peterson
• Lindsey Peterson
• Mary Peterson
• Karl Geoffrey Petrie, D.C.
• Marija Petrovic, M.D.
• William James Pettit, M.D.
• Janice Petty, LPC, LSATP
• Jessica Petz, DPT

• Doula in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Doula in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2009; 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.