Casandra Catrice Peterson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

273295 Issued in NY

Practice address

2944 22ND St
Niagara Falls, NY 14305-2106

Phone

(716) 236-7381

NPI assigned

Jun 30, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1114189362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 22ND ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143052106",
            "telephone_number": "716-236-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 22ND ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143052106",
            "telephone_number": "716-236-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CASANDRA",
        "middle_name": "CATRICE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "273295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Perry, MD
• Robert J Perry, MD
• Skyler Chiffon Perry, LPN
• Kashif Pervez
• Tammy Pesaresi, NP
• James Edward Peterson Sr., B.A.
• Anne Elizabeth Petrozzi-Burgess, MS ED. CCC/SLP
• Michael James Petsch, CRNA
• Christine Renee Pettapiece, PHARMD
• Bianca Pham

• Licensed Practical Nurse in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.