NPIMap

Organization Active NPI

Rebecca a. Peters, MD PC

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1104029495
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9089 Issued in NV
Legal business name
REBECCA A. PETERS, MD PC
Practice address
105 N Pecos Rd
Suite 113
Henderson, NV 89074-7324
Phone
(702) 947-6500
Fax
(702) 263-4804
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Rebecca A Peters, MD
Title
Owner
Phone
(702) 947-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 9089 NV Primary

Addresses

Primary practice location

105 N Pecos Rd
Suite 113
Henderson, NV 89074-7324

Mailing address

PO Box 50647
Henderson, NV 89016-0647
Phone (702) 947-6500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1104029495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50647",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160647",
            "telephone_number": "702-947-6500",
            "fax_number": "702-263-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PECOS RD",
            "address_2": "SUITE 113",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747324",
            "telephone_number": "702-947-6500",
            "fax_number": "702-263-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA A. PETERS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-947-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

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