Active NPI
Cheryl A Peterson, RN
- Registered Nurse
- Ashland, WI
National Provider Identifier
1285826164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Practice address
- 1615 Maple Lane
Memorial Medical Center Inc Behavioral Health Service
Ashland, WI 54806 - Phone
- (715) 685-5400
- Fax
- (715) 685-5102
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | WI | Primary |
Addresses
Primary practice location
1615 Maple Lane
Memorial Medical Center Inc Behavioral Health Service
Ashland, WI 54806
Mailing address
1615 Maple Lane
Memorial Medical Center Inc Behavioral Health Service
Ashland, WI 54806
Phone (715) 685-5400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102622-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1285826164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 MAPLE LANE",
"address_2": "MEMORIAL MEDICAL CENTER INC BEHAVIORAL HEALTH SERVICE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "54806",
"telephone_number": "715-685-5400",
"fax_number": "715-685-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MAPLE LANE",
"address_2": "MEMORIAL MEDICAL CENTER INC BEHAVIORAL HEALTH SERVICE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "54806",
"telephone_number": "715-685-5400",
"fax_number": "715-685-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.