Christinie Peterson, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Taylor, MI
NPI 1134582828 · NPPES record last updated Jul 16, 2016
Key facts
- NPI
- 1134582828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704275452 (MI)
- Practice address
- 24887 Goddard Rd
Taylor, MI 48180-3930 - Phone
- (734) 946-5410
- NPI assigned
- Mar 31, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602000292 | MI | Practitioner - Nurse Practitioner | 2860782984 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current |
Accepting new patients | |
| Vpa PC | Current |
Accepting new patients | |
| M a Haroon, MD, PC | Current |
Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Medical Associates, PC | Current |
Accepting new patients | |
| Omega Home Medical Equipment, Inc | Past |
Accepting new patients |
Locations
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
24887 Goddard Rd
Taylor, MI 48180
Phone (734) 946-0228
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
500 Kirts Blvd
Troy, MI 48084
Phone (214) 824-6000
428 S Grove St
Ypsilanti, MI 48198
Phone (734) 483-1214
Interoperability endpoints
- cpeterson626423@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704275452 | MI | Yes |
Addresses
Primary practice location
24887 Goddard Rd
Taylor, MI 48180-3930
Mailing address
24887 Goddard Rd
Taylor, MI 48180-3930
Other providers in Taylor, MI
- Perry Drug Stores Inc and Subsidiaries
- Tomanika Perry
- Personal Health Care, P.C.
- Amanda Peters
- Adekemi Peterson
- Julie Pettit
- Pharmacall, Inc
- Pharmax Pharmacy LLC
- Shaquala Phillips
- Rosalinda Angela-Gonzalez Pineda
All providers in Taylor, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.