Shannon Latrease Peters

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

27-1538272 Issued in NV

Practice address

800 N. Rainbow Suite 148
Hearts With Helping Hands
Las Vegas, NV 89107

Phone

(702) 778-8922

Fax

(702) 778-8789

NPI assigned

Mar 26, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hearts of Helping Hands

  • Health Maintenance Organization
  • Lasvegas, NV
  • NPI 1528342490
  NPD (past)
• Hearts With Helping Hands

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1720369739
  NPD (past)

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1093081945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 FOREST ST",
            "address_2": "HENDERSON",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155774",
            "telephone_number": "702-809-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N. RAINBOW SUITE 148",
            "address_2": "HEARTS WITH HELPING HANDS",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89107",
            "telephone_number": "702-778-8922",
            "fax_number": "702-778-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SHANNON",
        "middle_name": "LATREASE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "27-1538272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639470172",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine A Peters, CADC-I
• Michelle Peters
• Rahkim Peters
• Rashawn Peters
• Scott Peters
• Stacy Ann Peters
• Wanda Peters
• William Harold Peters
• Anastasia Petersen, BSN, RN
• Brady Todd Petersen, DMD, MS

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.