Erin Peterson, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209006152 Issued in IL

Practice address

559 Vincent Street
Attn: 21 Mdos/Sgof - Family Practice
Peterson Afb, CO 80914-1540

Phone

(719) 556-2273

Fax

(866) 867-7926

NPI assigned

Oct 12, 2006

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

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1245329846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT STREET",
            "address_2": "ATTN: 21 MDOS/SGOF - FAMILY PRACTICE",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-2273",
            "fax_number": "866-867-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT STREET",
            "address_2": "ATTN: 21 MDOS/SGOF - FAMILY PRACTICE",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-2273",
            "fax_number": "866-867-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209006152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan S Ogilvy, MSW, LCSW
• Dewaine Allen Olson Jr.
• Eric A Owens, O.D.
• Louis A Pagano Jr., PH.D.
• Sergio Perez
• Meghan Plunkett, MD
• Calvin Lee Polland, D.O.
• Kathryn Reggio, WHNP
• Edith Marie Reichert, CFNP
• Jessica L Roberts, RN

• Family Nurse Practitioner in Peterson Afb, CO
• Providers in Peterson Afb, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.