Individual provider Active NPI

Beth R Peterman, RN, APNP-BC

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1245413012
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1843-033 Issued in WI
Practice address
1702 W Walnut St
Uwm House of Peace Community Nursing Center
Milwaukee, WI 53205-1616
Phone
(414) 933-1590
Fax
(414) 933-0135
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1843-033 WI Primary

Addresses

Primary practice location

1702 W Walnut St
Uwm House of Peace Community Nursing Center
Milwaukee, WI 53205-1616

Mailing address

1702 W Walnut St
Uwm - House of Peace Community Nursing Center
Milwaukee, WI 53205-1616
Phone (414) 933-1590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1843-033WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1245413012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 W WALNUT ST",
            "address_2": "UWM - HOUSE OF PEACE COMMUNITY NURSING CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051616",
            "telephone_number": "414-933-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 W WALNUT ST",
            "address_2": "UWM HOUSE OF PEACE COMMUNITY NURSING CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051616",
            "telephone_number": "414-933-1590",
            "fax_number": "414-933-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "BETH",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "RN, APNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1843-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.