Lauren Peterson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11018340 Issued in FL

Practice address

3502 Kyoto Gardens Dr Ste a
Palm Beach Gardens, FL 33410-2899

Phone

(561) 776-8891

NPI assigned

Dec 9, 2022

Last updated

Mar 2, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1366153330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAJORCA WAY APT 205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581131",
            "telephone_number": "954-483-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 KYOTO GARDENS DR STE A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102899",
            "telephone_number": "561-776-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter a.D. Rubin, M.D., P.a.
• Peter M. Habashy, PA (Habashy Dental)
• Daniel Eric Peters, MD
• Kyle Petersen, MD
• Jessica Lauren Peterson, PHARM.D.
• Cara Petrou
• Robert Pew Jr.
• Jamie Marie Pewitt
• Wanda Lo Pfeifer, MME, CO, COMT, OC(C)
• Pga Chiropractic Health Center PA

• Family Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Family Nurse Practitioner in Florida

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