Caroline Anne Petersen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2013009812 Issued in NE

Practice address

2107 Avery Rd E
Bellevue, NE 68005-4617

Phone

(402) 293-4467

NPI assigned

Nov 1, 2013

Last updated

Nov 1, 2013By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1265861108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 AVERY RD E",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054617",
            "telephone_number": "402-293-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 AVERY RD E",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054617",
            "telephone_number": "402-293-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "CAROLINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2013009812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Persinger
• Aaliyah Sky Person I
• Holly S Persson, ACCNP
• Gregory Thomas Peters, MD
• Sarah Elizabeth Peters, PA-C
• Jacqueline Petersen
• Jennifer Renae Peterson
• Hopeellen Petro
• Gloria Pettigrew-Fletcher
• Samantha Hermine Pfaller, PT

• Speech-Language Pathologist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.