Kathleen Anne Peterson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6036 35TH Ave NE
Seattle, WA 98115-7313

Phone

(206) 450-3910

NPI assigned

Dec 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)

Not enrolled

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1366788176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157313",
            "telephone_number": "206-450-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157313",
            "telephone_number": "206-450-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Peterson
• Jessica Lynn Peterson, PHD
• Joseph Lloyd Peterson, BHCM
• Karen Peterson
• Kariss Corene Peterson, ARNP, FNP-BC
• Kelly Peterson, RD
• Kelly Jessica Peterson, OTR/L
• Kemp Crockett Peterson
• Kevin Christopher Peterson, PH.D
• Kimberly Kay Peterson, LMHC

• Behavior Analyst in Seattle, WA
• Providers in Seattle, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.