Leslieann Lauren Peterson

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

613612 Issued in NY

Practice address

544 Broadway
Newark, NJ 07104

Phone

(973) 318-8316

Fax

(973) 318-8317

NPI assigned

Oct 14, 2010

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Glowing Hearts Home Care Services

  • Home Health Agency
  • Newark, NJ
  • NPI 1861168205
  NPD Authorized official

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1194035899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9506",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071040506",
            "telephone_number": "973-318-8316",
            "fax_number": "973-318-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "973-318-8316",
            "fax_number": "973-318-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LESLIEANN",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "613612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Perwien
• Raymond John Pesenti, MD
• Courtney Peshkovsky, MD
• Peter Hoe Clinic @SMMC
• Uchenna I. Peter-Okaka, MD
• Peta-Gaye Kenisha Peterson, DO
• Elizabeth Ruth Petrakakos, RN
• Christine Petrick, LAC, NCC, ATR-P
• Georgios Petrides, M.D.
• Luka Petrovic, M.D.

• Home Health Registered Nurse in Newark, NJ
• Providers in Newark, NJ by specialty
• Home Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.