Active NPI
Linda K Peterson, MD
- Obstetrics & Gynecology Physician
- Kinston, NC
National Provider Identifier
1104933506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2020-02690
- Practice address
- 701 Doctors Dr Ste E1
Kinston, NC 28501-1584 - Phone
- (252) 775-5930
- Fax
- (252) 208-1177
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 45721 | WI | |
| Obstetrics & Gynecology Physician | 207V00000X | 2020-02690 | NC | Primary |
Addresses
Primary practice location
701 Doctors Dr Ste E1
Kinston, NC 28501-1584
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34392100 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lpeterson648066@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-02690 | NC | MD | Obstetrics & Gynecology Physician |
| 45721 | WI | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- lpeterson648066@direct.unc.nchie.net
- lpeterson493199@directhisp.wakemed.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104933506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 DOCTORS DR STE E1",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011584",
"telephone_number": "252-775-5930",
"fax_number": "252-208-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LINDA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2023-03-07",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "45721",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2020-02690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34392100",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lpeterson648066@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "701 Doctors Dr Ste E1",
"city": "Kinston",
"state": "NC",
"country_code": "US",
"postal_code": "285011584",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.