Loretta Elaine Peterson

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1006 Brookshire Cir
Garland, TX 75043-5019

Phone

(214) 450-0204

Fax

(972) 279-1681

NPI assigned

Jun 10, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1366737983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 BROOKSHIRE CIR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435019",
            "telephone_number": "214-450-0204",
            "fax_number": "972-279-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 BROOKSHIRE CIR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435019",
            "telephone_number": "214-450-0204",
            "fax_number": "972-279-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LORETTA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Gay Peters, RN, FNP-C
• Hayley Deis Peters, FNP-C
• Paula Jan Peters, COTA
• Theresa N. Peters, FNP
• Christopher Petersen
• Scott F Peterson, DDS
• Taylor Marie Petrick, PT, DPT
• Harry H. Pham, O.D.
• Hoa H Pham, PHARM D
• Huy Pham, DMD

• Contractor in Garland, TX
• Providers in Garland, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.