Laura Marie Peterson, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

30423 Issued in NE

Practice address

8330 Cheney Ridge Rd Apt 439
Lincoln, NE 68516-3820

Phone

(402) 730-6854

NPI assigned

Jun 26, 2012

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1356605117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 CHENEY RIDGE RD APT 439",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163820",
            "telephone_number": "402-730-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 CHENEY RIDGE RD APT 439",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163820",
            "telephone_number": "402-730-6854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13902 N Dale Mabry Hwy Ste 121",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182424",
            "country_code": "US",
            "telephone_number": "813-969-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "30423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy R Peterson, DC
• Karla Jean Peterson, RN
• Kayla Christina Peterson
• Kendall Kristine Peterson, APRN- NP
• Kerri Peterson, PLMHP
• Lindsey Marie Peterson
• Lisa Marie Peterson, MD
• Lori Peterson
• Nancy Ann Peterson, CNM
• Nicole Peterson

• General Practice Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• General Practice Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.