Brianna Peterson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22919 Issued in CA

Practice address

9620 Chesapeake Dr Ste 103
San Diego, CA 92123-1324

Phone

(858) 859-5369

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 2018By the provider in NPPES

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1194208884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 39TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055115",
            "telephone_number": "308-746-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 CHESAPEAKE DR STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231324",
            "telephone_number": "858-859-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peterson and Abe
• Molly Dale Peterson-Cross
• Alexander Olaf Peterson Jr., MD
• Ashley June Peterson, LMFT
• Brendon D Peterson, MD
• Christina Rosellina Peterson
• Christopher Peterson, DMD
• Christopher Martin Peterson, LMFT
• Danika Nicole Peterson
• Devan Jay Peterson

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.