Courtney Lyn Peterson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61140628 Issued in WA

Practice address

235 E Rowan Ave Ste 102
Spokane, WA 99207-1240

Phone

(509) 489-2101

Fax

(509) 232-7222

NPI assigned

Apr 1, 2021

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

• Courtney Lyn Hewett Former name

Electronic endpoints 1

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chewett450625@oc.providencedirect.org

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

• North Spokane Womens Health PS

  • Obstetrics Physician
  • Spokane, WA
  • NPI 1821100132
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1336727007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-489-2101",
            "fax_number": "509-232-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-489-2101",
            "fax_number": "509-232-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "COURTNEY",
        "middle_name": "LYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61140628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Courtney@nswomenshealth.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "North Spokane Womens Health PS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 E Rowan Ave Ste 102",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992071240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HEWETT",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arnold G Peterson, M.D.
• Brad Peterson, DVM
• Christine D Peterson, CRNA
• Claire Peterson
• Cornelius R Peterson, MD
• Craig M Peterson, PT
• Dana Richard Peterson, LMP
• Deborah A Peterson, P.T.
• Diana M Peterson, RN
• Heidi Jill Peterson, ATC

• 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 Apr 1, 2021; 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.