Jane A Peterson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2006031910 Issued in MO

Practice address

2220 Holmes St
Kansas City, MO 64108-2639

Phone

(816) 235-5963

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1366474975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 BRENT DR",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "66012",
            "telephone_number": "402-415-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082639",
            "telephone_number": "816-235-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2006031910",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078557536",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Peterson, PT, DPT
• Carol B. Peterson, LCSW
• Carrie Ann Peterson
• Dakota James Peterson, MT
• Hannah Peterson
• Jessica Peterson, D.O.
• Joshua Peterson, RN, BSN
• Kristin Brooke Peterson, PHARMD
• Louis Hayward Peterson, MD
• Nicole Kathleen Peterson, PTA

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

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