NPIMap

Organization Active NPI

Kathleen Peterman

  • Adult Companion
  • Jensen Beach, FL
National Provider Identifier
1083732093
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
PN931913 Issued in FL
Legal business name
KATHLEEN PETERMAN
Practice address
611 S Seas
Jensen Beach, FL 34957-5341
Phone
(772) 225-5777
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kathleen Ellen Peterman, LPN
Title
LPN
Phone
(772) 225-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X PN931913 FL Primary

Addresses

Primary practice location

611 S Seas
Jensen Beach, FL 34957-5341

Mailing address

611 S Seas
Jensen Beach, FL 34957-5341
Phone (772) 225-5777

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083732093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S SEAS",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575341",
            "telephone_number": "772-225-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S SEAS",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575341",
            "telephone_number": "772-225-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN PETERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "772-225-5777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "PN931913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.