Carrie Louise Peterson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

043925 Issued in MN

Practice address

1526 Northway Dr
Saint Cloud, MN 56303-1255

Phone

(320) 251-8385

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Pain Management, P.a.

  • Specialist
  • Sartell, MN
  • NPI 1215977079
  Medicare reassignment NPD
• Certified Anesthesia Care, Co.

  dba Certified Anesthesia Care, Inc

  • Certified Registered Nurse Anesthetist
  • Stillwater, MN
  • NPI 1699736348

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Regional Anesthesia Services PA

  • Anesthesiology Physician
  • Minnetonka, MN
  • NPI 1073621850
  Medicare reassignment NPD
• Novamed Surgery Center of Chicago-Northshore, LLC

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
  • NPI 1447255799

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Perioperative Medical Consutants Inc

  • Anesthesiology Physician
  • Fairfield, OH
  • NPI 1124028162
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1366595712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 GRIZZLY LN",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772070",
            "telephone_number": "320-230-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 NORTHWAY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031255",
            "telephone_number": "320-251-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CARRIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "043925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00212663",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Petersen, PSY.D.
• Rebecca A Petersen, CRNA
• Peterson Dental Associates, P.a.
• Amber Marie Peterson, MS
• Amy Marlene Peterson
• Dennis L Peterson, M.D.
• Holly Christine Peterson, MD, SFHM
• Jennifer Peterson, LMFT
• Jon B Peterson, D.C.
• Kari Lee Peterson, DENTIST DDS

• Certified Registered Nurse Anesthetist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.