Lakedra Peterson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1643630 Issued in CO

Practice address

2550 S Parker Rd # S400
Aurora, CO 80014-1622

Phone

(303) 636-3034

NPI assigned

Jan 24, 2019

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

Other names 1

• Lakedra Conner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1255895207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S PARKER RD STE 3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800141622",
            "telephone_number": "314-327-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S PARKER RD # S400",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141622",
            "telephone_number": "303-636-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LAKEDRA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1643630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKEDRA",
            "last_name": "CONNER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brookelyn Marie Peterson, PHARMD
• Elizabeth Frances Peterson, M.A.,CCC-SLP
• Glen Peterson, NP
• John E Peterson, MD
• Kerry Ann Peterson, PHD, DNP, PMHNP-BC
• Laura Lynn Peterson, LPC
• Melissa B Peterson, MD
• Nicholas Lee Peterson, DDS
• Paige Alexia Peterson, MD
• Rachelle M Peterson

• Registered Nurse in Aurora, CO
• Providers in Aurora, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.