Anna Peterson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

58 Rolling Oaks Rd Unit D
Sugar Grove, IL 60554-9337

Phone

(779) 777-3659

NPI assigned

Oct 22, 2017

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": "1508630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508630400000",
    "number": "1225549876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ROLLING OAKS RD UNIT D",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 ROLLING OAKS RD UNIT D",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549337",
            "telephone_number": "779-777-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Oie, APN
• Danielle M Ortiz, DO
• Oana Mihaela Patrascu, M.D.
• Andrea Peach, RN, IBCLC
• Emily Osborn Peck, M.A. CCC-SLP
• Lilibeth Sumague Pilario
• Beth Louise Plachetka, LCSW
• Prolink Transport LLC
• Courtney Lynn Pupich, LCSW
• Anna M Raimondi, A.P.N.

• Athletic Trainer in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2017; 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.