Amy Peterson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

53203 Issued in SC

Practice address

1607 Executive Ave
Myrtle Beach, SC 29577-6501

Phone

(843) 712-7316

Fax

(843) 945-1022

NPI assigned

Sep 9, 2026

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

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1316857725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 EXECUTIVE AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776501",
            "telephone_number": "843-712-7316",
            "fax_number": "843-945-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "53203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Robert Kenneth Perkins, MD
• Bobby B. Perry Jr., P.T.A.
• Devin A Perry, M.S.
• Jennings Michael Perry, DNP
• Matthew Alan Peterman, DO
• Barbara Peterson, S.L.P.
• Alexander Petkovsek
• Thomas William Petrusick, MD
• Robert Wincel Pettis, MD, DC, PHD
• John A Pfeiffer, MD

• Licensed Practical Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.