Kerri Petersen, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30006065 Issued in WA

Practice address

316 W Boone Ave
Suite 757
Spokane, WA 99201-2354

Phone

(509) 868-0876

Fax

(509) 385-0670

NPI assigned

Jan 16, 2006

Last updated

Dec 30, 2016By 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

Other names 1

• Kerri Lantz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Home Care Corporation

  • Home Health Agency
  • Liberty Lake, WA
  • NPI 1497951651
  NPD (past)
• House Neuro-Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Spokane, WA
  • NPI 1487242020
  NPD (past)
• Northwest Medical Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Spokane, WA
  • NPI 1508804105
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1275512451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KERRI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "LANTZ",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Ann Peterschick, O.T.
• Brian Petersen, MD
• Dale Ann Petersen, PA-C
• David G Petersen, D.D.S.
• Don R. Petersen, O.D.
• Megan Petersen, ARNP
• William Marc Petersen, D.D.S, P.C.
• Peterson Dental
• Peterson Plastic Surgery, Inc (Elizabeth Peterson MD)
• Alexandra Rae Peterson

• Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.