Debra Kay Peterman, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

R35155 Issued in NM

Practice address

1217 1St St NW
Albuquerque, NM 87102-1529

Phone

(505) 766-5197

Fax

(505) 766-6945

NPI assigned

Jan 7, 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

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1265905897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 ACADEMY RD NE APT 517",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117330",
            "telephone_number": "505-688-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 1ST ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021529",
            "telephone_number": "505-766-5197",
            "fax_number": "505-766-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NM",
            "license": "R35155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia S Pesantez, LCSW
• Christian Jon Peshlakai
• Rebeccah Peshlakai
• Melissa Pesina
• Lisa Peterkin
• Mimi Martine Peters Rosen
• Dallas Peters, MD
• David A. Peters, M.D.
• Haley Dianna Peters
• Linda Elizabeth Peters, LMSW

• Administrator Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Administrator Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.