Brittany Alese Peterson, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

662870 Issued in TX

Practice address

2201 Main Street Suite 214
Dallas, TX 75201

Phone

(972) 349-9211

Fax

(972) 349-9255

NPI assigned

May 4, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Deuteronomy

  • General Practice Physician
  • Kaufman, TX
  • NPI 1386665495
  NPD (past)
• Martha L Hardee MD PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1760735625
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1114975315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MAIN STREET SUITE 214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75201",
            "telephone_number": "972-349-9211",
            "fax_number": "972-349-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MAIN STREET SUITE 214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75201",
            "telephone_number": "972-349-9211",
            "fax_number": "972-349-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRITTANY",
        "middle_name": "ALESE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "662870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1743544-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N8485",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Petersen
• Katharine Petersen, M.D.
• Katherine Petersen, MD
• Robert Todd Petersen, DC, OPAC, ATC, LAT
• Blair Shackleton Peterson, PA-C
• Christina Peterson, RN
• Clifton Peterson
• Eric Peterson, M.D.
• Gail Elizabeth Peterson, MD
• Gregory Peterson, MD

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.