Eric Peterson

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN141586 Issued in AZ

Practice address

1309 N Rochester
Mesa, AZ 85205-4249

Phone

(480) 472-8334

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1336922715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N POWER RD # 5799",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N ROCHESTER",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054249",
            "telephone_number": "480-472-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN141586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice J Peterson, DNP, PMHNP-BC
• Brian R. Peterson, D.D.S.
• Calli Tansa Peterson
• Charles Smith Peterson, M.D.
• Denise Peterson, LIAC
• Kelsey Peterson, LMSW
• Lana J. Peterson, PMHNP
• Laurie Lee Peterson, P.A.
• Lesilie A Peterson, RDH
• Lindsey Peterson, RBT

• School Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.