Stephanie Peterson

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

667893 Issued in TX

Practice address

716 Waverly St Unit B
Houston, TX 77007-1407

Phone

(832) 533-2354

NPI assigned

Mar 2, 2009

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 names 1

• Stephanie Boudreaux Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

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 and National Provider Directory roles.

• Catapult Health PA

  • Clinic/Center
  • Dallas, TX
  • NPI 1154963841
  Medicare reassignment NPD
• Catapult Health, LLC

  • Corporate Health Clinic/Center
  • Dallas, TX
  • NPI 1356629596
  NPD (past)
• Luxe5 International Inc

  • Nurse Practitioner
  • Katy, TX
  • NPI 1871881516
  NPD (past)

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1073753240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 WAVERLY STREET UNIT B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "832-533-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 WAVERLY ST UNIT B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071407",
            "telephone_number": "832-533-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "667893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BOUDREAUX",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Peterson, PMHNP
• Leanne Peterson, LCSW
• Megh Ellen Gore Peterson, MD
• Milton Peterson Jr., LCDC
• Robert Peterson
• Taylor Peterson, M.A., CCC-SLP
• Terry Lynn Peterson, LMSW
• Betsabe Angelica Petit Ortunez, M.D
• Denis Petit-Blanc
• Carolyn Petit-Mat

• Adult Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.