Melissa T Petersen, RNC, MS, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN117123 Issued in GA

Practice address

315 Winn Way
Decatur, GA 30030-2111

Phone

(404) 299-9724

Fax

(404) 299-0382

NPI assigned

Feb 26, 2008

Last updated

Jun 4, 2009By the provider in NPPES

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)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1215106042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302111",
            "telephone_number": "404-299-9724",
            "fax_number": "404-299-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302111",
            "telephone_number": "404-299-9724",
            "fax_number": "404-299-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "MELISSA",
        "middle_name": "T",
        "credential": "RNC, MS, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN117123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter N. Richards, D.D.S., P.C.
• Amanda Peters
• Marcia Jean Peters, FNP,BC
• Marybeth Ann Peters, LCSW CEAP
• Rosemary Ellen Peters, OTD
• Tyressa Peterson, NP
• Andi Christine Petito
• Leslie Dannene Pettis
• Holly Peyer
• Amanda Thuy-Diem Pham, M.D.

• Women's Health Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.