Nicholas J Peterson, RN, BSN, BSBA

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

212864 Issued in MA

Practice address

780 Albany St
Boston, MA 02118-2524

Phone

(617) 755-9454

NPI assigned

Nov 2, 2009

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1346576923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GREENOUGH ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456152",
            "telephone_number": "617-232-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182524",
            "telephone_number": "617-755-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "RN, BSN, BSBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "212864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariko Sada Peterson, MD/PHD
• Mary Anne L Peterson, PA-C
• Megan Peterson, DNP, FNP
• Meredith Peterson
• Nicholas Danial Peterson
• Rebecca T Peterson, MD
• Seana Helene Peterson, LCSW
• Valerie A. Peterson
• Kalpana Pethe, MD
• David Petit-Frere

• Community Health Registered Nurse in Boston, MA
• Providers in Boston, MA by specialty
• Community Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.