Jamie Peterson, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

820652 Issued in CA

Practice address

286 S 16TH St
Grover Beach, CA 93433-2245

Phone

(805) 473-7050

Fax

(805) 474-7473

NPI assigned

Sep 16, 2015

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1366811739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 S 16TH ST",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332245",
            "telephone_number": "805-473-7050",
            "fax_number": "805-474-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 S 16TH ST",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332245",
            "telephone_number": "805-473-7050",
            "fax_number": "805-474-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JAMIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "820652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Holm Pearce, MFT
• Beliza Perdomo, LMFT
• Daniela Perez, DDS
• Destiny Perez
• Raul D Perez, DDS
• Kathryn M Phelan, DOCTOR OF CHIROPRACT
• Phyllis Borgardt & Assc., Inc. (Mobility Therapy)
• Playpath Therapy
• Naomie Plyler
• Natalie Plyler

• Case Management Registered Nurse in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.