Allison Lynn Peters

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

111772 Issued in IA

Practice address

5050 Chavenelle Rd
Dubuque, IA 52002-2616

Phone

(224) 651-5459

NPI assigned

Aug 29, 2019

Last updated

Mar 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1326696683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 GREEN ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015705",
            "telephone_number": "224-651-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CHAVENELLE RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022616",
            "telephone_number": "224-651-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ALLISON",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "111772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Budar Peckosh, DMD
• Karina Irma Perez
• Michael Stephen Peroski, DO
• Sarah Perreault
• Kimberly Ann Peterman, RD/LD,CDE
• Jennifer Marie Peters
• Rebecca Peterson, M.S.
• Deann Petitgout, LAT, ATC
• Kari Pfab, ARNP
• Paulina Phomvongsa, MD

• Athletic Trainer in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; 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.